Provider Demographics
NPI:1902851660
Name:BARRETT, DEBBIE SUE (LCJW CADC)
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:SUE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LCJW CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516
Mailing Address - Country:US
Mailing Address - Phone:630-217-7754
Mailing Address - Fax:630-241-1155
Practice Address - Street 1:6655 MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516
Practice Address - Country:US
Practice Address - Phone:630-217-7754
Practice Address - Fax:630-241-1155
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical