Provider Demographics
NPI:1952935496
Name:ABBEY, DEBRA (NCC LPC ADHD-CCSP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:ABBEY
Suffix:
Gender:F
Credentials:NCC LPC ADHD-CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 GAY HILL RD
Mailing Address - Street 2:
Mailing Address - City:UNCASVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06382-2013
Mailing Address - Country:US
Mailing Address - Phone:860-256-4448
Mailing Address - Fax:
Practice Address - Street 1:55 GAY HILL RD
Practice Address - Street 2:
Practice Address - City:UNCASVILLE
Practice Address - State:CT
Practice Address - Zip Code:06382-2013
Practice Address - Country:US
Practice Address - Phone:860-256-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional