Provider Demographics
NPI:1750581351
Name:LIGNELL, DEBBIE ANNE (MFT)
Entity type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:ANNE
Last Name:LIGNELL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 HOLLYHOCK ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-1232
Mailing Address - Country:US
Mailing Address - Phone:925-785-8492
Mailing Address - Fax:
Practice Address - Street 1:4049 FIRST ST STE 135
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-4986
Practice Address - Country:US
Practice Address - Phone:925-785-8492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41858106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000008166Medicaid