Provider Demographics
NPI:1881652931
Name:KAPITKO, DEBORAH OBERT (MA, NCC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:OBERT
Last Name:KAPITKO
Suffix:
Gender:F
Credentials:MA, NCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 W WILLOW KNOLLS DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-1002
Mailing Address - Country:US
Mailing Address - Phone:309-681-5652
Mailing Address - Fax:309-681-5658
Practice Address - Street 1:3020 W WILLOW KNOLLS DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-1002
Practice Address - Country:US
Practice Address - Phone:309-681-5652
Practice Address - Fax:309-681-5658
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health