Basic Information
| Provider Information | |||||||||
| NPI: | 1003971912 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEBBER | ||||||||
| FirstName: | DEBBIE | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MED, LCPC, NCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 556 CORINTH RD | ||||||||
| Address2: | |||||||||
| City: | GARLAND | ||||||||
| State: | ME | ||||||||
| PostalCode: | 049394431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2072857673 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 24 SPRINGER ROAD | ||||||||
| Address2: | 1 SPRINGER PLACE SUITE 202 | ||||||||
| City: | BANGOR | ||||||||
| State: | ME | ||||||||
| PostalCode: | 04401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2079922535 | ||||||||
| FaxNumber: | 2079922539 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/22/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | CC1889 | ME | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.