Debeau, Richard L

Debeau, Richard L is an individual health care provider with primary practice located at 1016 Swift St S , Shakopee MN 55379-2953. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Debeau, Richard L can be contacted via phone (952) 403-9274.

Contact Information

Primary practice address
1016 Swift St S Shakopee MN 55379-2953
Phone: (952) 403-9274
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 209 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 30 Minnesota

Profile Details

NPI number 1740287713
LBN Legal business name Debeau, Richard L
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 9th, 2007 - about 19 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 1740287713 NPPES
Minnesota Other 5G863ME BLUE CROSS/BLUE SHIELD

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