Provider Demographics
NPI:1457780918
Name:DEBB, SCOTT (LPC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:DEBB
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3504 N CRESTLINE DR
Mailing Address - Street 2:STE A/B
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-1810
Mailing Address - Country:US
Mailing Address - Phone:757-823-8943
Mailing Address - Fax:
Practice Address - Street 1:3504 N CRESTLINE DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-1810
Practice Address - Country:US
Practice Address - Phone:757-823-8943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005572101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional