Provider Demographics
NPI:1851627038
Name:KRUMHOLZ, DEBRA (LMHC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:KRUMHOLZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3187
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01004-3187
Mailing Address - Country:US
Mailing Address - Phone:413-512-1702
Mailing Address - Fax:
Practice Address - Street 1:234 RUSSELL ST
Practice Address - Street 2:HADLEY HEALTH CENTER
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-3534
Practice Address - Country:US
Practice Address - Phone:413-512-1702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-23
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA645101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health