Provider Demographics
NPI:1013149269
Name:MAYO, DEBRA JEAN (LPC)
Entity Type:Individual
Prefix:MISS
First Name:DEBRA
Middle Name:JEAN
Last Name:MAYO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:BLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:6909 W RAY RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-1699
Mailing Address - Country:US
Mailing Address - Phone:623-688-8010
Mailing Address - Fax:
Practice Address - Street 1:6909 W RAY RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-1699
Practice Address - Country:US
Practice Address - Phone:623-688-8010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15214101Y00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor