De La Garza, Debra
De La Garza, Debra is an individual health care provider with primary practice located at 238 Quail Ridge Rd , Campbellsville KY 42718-8714. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. De La Garza, Debra can be contacted via phone (270) 505-2665.Contact Information
Primary practice address
238 Quail Ridge Rd
Campbellsville KY 42718-8714
Phone: (270) 505-2665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1095 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3593 | Kentucky |
Profile Details
| NPI number | 1083075527 |
|---|---|
| LBN Legal business name | De La Garza, Debra |
| Credentials | LCSW, CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2016 |
| Last updated | Oct 9th, 2018 - about 8 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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