Provider Demographics
NPI:1720521321
Name:LEMIEUX, DEBRA LYNN (CMA)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:LYNN
Last Name:LEMIEUX
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5762 CHICO WAY NW
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-1144
Mailing Address - Country:US
Mailing Address - Phone:360-981-7174
Mailing Address - Fax:
Practice Address - Street 1:5762 CHICO WAY NW
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312
Practice Address - Country:US
Practice Address - Phone:360-981-7174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor