Haddock, Deborah C

Haddock, Deborah C is an sole proprietor health care provider with primary practice located at 4005 W 65Th St Suite 214, Edina MN 55435-1720. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Haddock, Deborah C can be contacted via phone (612) 940-0653.

Contact Information

Primary practice address
4005 W 65Th St Suite 214 Edina MN 55435-1720
Phone: (612) 940-0653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC00151 Minnesota
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP3466 Minnesota

Profile Details

NPI number 1497824486
LBN Legal business name Haddock, Deborah C
Credentials LP, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1497824486 NPPES
Minnesota Other 84905701132 PREFERRED ONE ID
Minnesota Other 01H70HA PREFERRED ONE ID
Minnesota Other 62-90979 PREFERRED ONE ID

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