Provider Demographics
NPI:1538752860
Name:MCBRIDE, DEBORAH FAYE (RN, AMFT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:FAYE
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:RN, AMFT
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:FAYE
Other - Last Name:REDDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9570 CENTER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-5842
Mailing Address - Country:US
Mailing Address - Phone:909-816-7188
Mailing Address - Fax:
Practice Address - Street 1:9570 CENTER AVE STE 100
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5842
Practice Address - Country:US
Practice Address - Phone:909-210-7745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-17
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112456101YM0800X, 106H00000X
CA6161101YP2500X
CA385620163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No163WC0400XNursing Service ProvidersRegistered NurseCase Management