Basic Information
| Provider Information | |||||||||
| NPI: | 1831126226 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCPHEE | ||||||||
| FirstName: | DEBRA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 81 DEERFIELD MEADOWS | ||||||||
| Address2: | |||||||||
| City: | MINERAL | ||||||||
| State: | VA | ||||||||
| PostalCode: | 23117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5408948414 | ||||||||
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| Practice Location | |||||||||
| Address1: | 600 JACKSON STREET | ||||||||
| Address2: | |||||||||
| City: | FREDERICKSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5403736876 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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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 | 0701003829 | VA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 184035 | 01 | VA | TRIGON | OTHER | 086552M | 01 | VA | SENTARA | OTHER | 184035 | 01 | VA | ANTHEM | OTHER | 2140533 | 01 | VA | MDIPA | OTHER |