Provider Demographics
NPI:1295743235
Name:ROME, DEBORAH JEAN (LMHC)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:JEAN
Last Name:ROME
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:JEAN
Other - Last Name:ROME
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:617 W MERCER PL
Mailing Address - Street 2:#401
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3837
Mailing Address - Country:US
Mailing Address - Phone:206-284-8185
Mailing Address - Fax:
Practice Address - Street 1:2220 QUEEN ANNE AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2312
Practice Address - Country:US
Practice Address - Phone:206-284-8185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004824101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health