Provider Demographics
NPI:1104161835
Name:HILL, DEBRA (LPC)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 LIEN ST
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6506
Mailing Address - Country:US
Mailing Address - Phone:732-349-3535
Mailing Address - Fax:732-349-9436
Practice Address - Street 1:122 LIEN ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6506
Practice Address - Country:US
Practice Address - Phone:732-349-3535
Practice Address - Fax:732-349-9436
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00404300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional