Provider Demographics
NPI:1114285384
Name:MEEKS, DEBRA
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:MEEKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 E. CLARK AVE
Mailing Address - Street 2:COAST VALLEY SUBSTANCE ABUSE TREATMENT CENTER
Mailing Address - City:ORCUTT
Mailing Address - State:CA
Mailing Address - Zip Code:93455
Mailing Address - Country:US
Mailing Address - Phone:505-739-1512
Mailing Address - Fax:
Practice Address - Street 1:1125 E. CLARK AVE
Practice Address - Street 2:COAST VALLEY SUBSTANCE ABUSE TREATMENT CENTER
Practice Address - City:ORCUTT
Practice Address - State:CA
Practice Address - Zip Code:93455
Practice Address - Country:US
Practice Address - Phone:505-739-1512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)