Provider Demographics
NPI:1194994525
Name:SLAVIK, DEBORAH E (LPCC)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:E
Last Name:SLAVIK
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:SLAVIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 SILVER LAKE RD NW
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-1786
Mailing Address - Country:US
Mailing Address - Phone:651-628-9566
Mailing Address - Fax:651-628-0411
Practice Address - Street 1:1425 S MASON ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-5542
Practice Address - Country:US
Practice Address - Phone:218-428-1486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2696-125101YP2500X
MNCC01130101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional