Provider Demographics
NPI:1770774291
Name:ANAYA, DEBRA (LPCC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:ANAYA
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 SAN JOSE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220
Mailing Address - Country:US
Mailing Address - Phone:575-887-2455
Mailing Address - Fax:575-234-2945
Practice Address - Street 1:2013 SAN JOSE BLVD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-5426
Practice Address - Country:US
Practice Address - Phone:575-887-2455
Practice Address - Fax:575-234-2945
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health