Provider Demographics
NPI:1881604130
Name:KING, DEBRA S (LPC, LCDC, SWA)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:S
Last Name:KING
Suffix:
Gender:F
Credentials:LPC, LCDC, SWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 W ADOUE ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-2713
Mailing Address - Country:US
Mailing Address - Phone:281-585-0383
Mailing Address - Fax:
Practice Address - Street 1:406 S GORDON ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-2432
Practice Address - Country:US
Practice Address - Phone:281-331-2934
Practice Address - Fax:281-585-3709
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8914101YA0400X
TX16504101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional