Davis, Deborah Lynn

Davis, Deborah Lynn is an individual health care provider with primary practice located at 2424 32Nd Ave S Suite 202, Grand Forks ND 58201-6545. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Davis, Deborah Lynn can be contacted via phone (701) 746-6336.

Contact Information

Primary practice address
2424 32Nd Ave S Suite 202 Grand Forks ND 58201-6545
Phone: (701) 746-6336
Fax: (701) 772-1030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1180 North Dakota
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 881-7-1-16-176 North Dakota

Profile Details

NPI number 1083646988
LBN Legal business name Davis, Deborah Lynn
Credentials LPCC, LMAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083646988 NPPES
North Dakota MEDICAID 054519
North Dakota Other 9G411DA
North Dakota Other 012197

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