Provider Demographics
NPI:1730246398
Name:EWING-MCCRIMMON, DEBRA MARIE (MA,MS,LPC)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:MARIE
Last Name:EWING-MCCRIMMON
Suffix:
Gender:F
Credentials:MA,MS,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8838 RUTHERFORD LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-3632
Mailing Address - Country:US
Mailing Address - Phone:281-847-3048
Mailing Address - Fax:
Practice Address - Street 1:8838 RUTHERFORD LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-3632
Practice Address - Country:US
Practice Address - Phone:281-847-3048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6644101YA0400X
TX200919101YP2500X
LAMFT687106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist