Provider Demographics
NPI:1982173936
Name:HONEYESTEWA, DEBORAH (CADC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:HONEYESTEWA
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FALLON TRIBAL HEALTH CENTER
Mailing Address - Street 2:PO BOX 1980
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89407
Mailing Address - Country:US
Mailing Address - Phone:775-423-3634
Mailing Address - Fax:
Practice Address - Street 1:1001 RIO VISTA DRIVE
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406
Practice Address - Country:US
Practice Address - Phone:775-423-3634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2015-135101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)