Provider Demographics
NPI:1912261942
Name:DEBELL, ROXANNE MARIE (MED, LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:MARIE
Last Name:DEBELL
Suffix:
Gender:F
Credentials:MED, LPCC, NCC
Other - Prefix:
Other - First Name:ROXANNE
Other - Middle Name:
Other - Last Name:DEBELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, LPCC, NCC
Mailing Address - Street 1:13314 ALPINE DR
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-5718
Mailing Address - Country:US
Mailing Address - Phone:619-972-2111
Mailing Address - Fax:
Practice Address - Street 1:4995 MURPHY CANYON RD STE 204
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4365
Practice Address - Country:US
Practice Address - Phone:619-276-8112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1091101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional