Provider Demographics
NPI:1124341417
Name:HUNTOON, DEBRA JEANE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:JEANE
Last Name:HUNTOON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 GALAX LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-9273
Mailing Address - Country:US
Mailing Address - Phone:919-598-6935
Mailing Address - Fax:
Practice Address - Street 1:108 GALAX LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-9273
Practice Address - Country:US
Practice Address - Phone:919-598-6935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040180121041C0700X
NCC0002591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical