Provider Demographics
NPI:1952652091
Name:EVANS, DEBRA CECILE (PHD, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:CECILE
Last Name:EVANS
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WILLIAMSBURG PL
Mailing Address - Street 2:SUITE G-2
Mailing Address - City:WARRENDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15086-7540
Mailing Address - Country:US
Mailing Address - Phone:724-575-2710
Mailing Address - Fax:
Practice Address - Street 1:1 WILLIAMSBURG PL
Practice Address - Street 2:SUITE G-2
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-7540
Practice Address - Country:US
Practice Address - Phone:724-575-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006540101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional