Dettman, Deborah Lynn
Dettman, Deborah Lynn is an sole proprietor health care provider with primary practice located at 1209 W Sherwin Ave Apt 809 , Chicago IL 60626-2257. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dettman, Deborah Lynn can be contacted via phone (301) 202-4424.Contact Information
Primary practice address
1209 W Sherwin Ave Apt 809
Chicago IL 60626-2257
Phone: (301) 202-4424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00005466 | Washington |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00001620 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.008106 | Illinois |
Profile Details
| NPI number | 1073127775 |
|---|---|
| LBN Legal business name | Dettman, Deborah Lynn |
| Credentials | LCSW, LICSW, SUDP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2020 |
| Last updated | Sep 1st, 2020 - about 6 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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