Chelette - Wilson, Deborah

Chelette - Wilson, Deborah is an individual health care provider with primary practice located at 108 Wain Dr Ste B , Longview TX 75604-1231. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Chelette - Wilson, Deborah can be contacted via phone (903) 850-6334.

Contact Information

Primary practice address
108 Wain Dr Ste B Longview TX 75604-1231
Phone: (903) 850-6334
Fax: (906) 236-8510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15127 Texas

Profile Details

NPI number 1730173253
LBN Legal business name Chelette - Wilson, Deborah
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Mar 31st, 2020 - about 4 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 1730173253 NPPES
Texas MEDICAID 028036401
Texas Other 15127

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