Provider Demographics
NPI:1942703459
Name:SINNETTE-BAIRD, DEBORAH IRENE (LPCC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:IRENE
Last Name:SINNETTE-BAIRD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:DEBBY
Other - Middle Name:
Other - Last Name:SINNETTE-BAIRD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:250 MADELINE DR
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-2432
Mailing Address - Country:US
Mailing Address - Phone:626-708-0049
Mailing Address - Fax:
Practice Address - Street 1:482 N ROSEMEAD BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3000
Practice Address - Country:US
Practice Address - Phone:626-708-0049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-11
Last Update Date:2019-08-09
Deactivation Date:2019-07-30
Deactivation Code:
Reactivation Date:2019-08-09
Provider Licenses
StateLicense IDTaxonomies
CA67101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional