Anderson, Debra L

Anderson, Debra L is an individual health care provider with primary practice located at 1 Trillium Way , Corbin KY 40701-8426. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Debra L can be contacted via phone (606) 523-8521.

Contact Information

Primary practice address
1 Trillium Way Corbin KY 40701-8426
Phone: (606) 523-8521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0001 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 0052 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1364 Kentucky

Profile Details

NPI number 1033329222
LBN Legal business name Anderson, Debra L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Dec 30th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033329222 NPPES
Kentucky Other C62028 CUMBERLAND HEALTHCARE INC

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