Gracia, Deborah Stanton

Gracia, Deborah Stanton is an sole proprietor health care provider with primary practice located at 101 Jordan Dr Jordan Professional Building, Chattanooga TN 37421-6732. 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Gracia, Deborah Stanton can be contacted via phone (423) 499-8894.

Contact Information

Primary practice address
101 Jordan Dr Jordan Professional Building Chattanooga TN 37421-6732
Phone: (423) 499-8894
Fax: (423) 886-7017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LDC200 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X TN984 Tennessee

Profile Details

NPI number 1689707390
LBN Legal business name Gracia, Deborah Stanton
Credentials L.C.S.W., L.D.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 18 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 1689707390 NPPES
Kentucky Other 4295328 PIN NUMBER
Kentucky MEDICAID 145218 PIN NUMBER
Kentucky Other 0145218 PIN NUMBER

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