Provider Demographics
NPI:1255525143
Name:CORDELL, DEBORAH LEIGH (LPC, MFT-A)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LEIGH
Last Name:CORDELL
Suffix:
Gender:F
Credentials:LPC, MFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 BLYTHE BLVD
Mailing Address - Street 2:CAROLINAS REHABILITATION
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203
Mailing Address - Country:US
Mailing Address - Phone:704-355-7760
Mailing Address - Fax:
Practice Address - Street 1:1110 BLYTHE BLVD.
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203
Practice Address - Country:US
Practice Address - Phone:704-355-7760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor