Provider Demographics
NPI:1659426518
Name:HERMAN, DEBORAH RENEE (LMFT AND LPCC)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:RENEE
Last Name:HERMAN
Suffix:
Gender:F
Credentials:LMFT AND LPCC
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:RENEE
Other - Last Name:MORGADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6276 N 1ST ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5400
Mailing Address - Country:US
Mailing Address - Phone:559-706-6226
Mailing Address - Fax:559-448-0164
Practice Address - Street 1:6276 N 1ST ST
Practice Address - Street 2:SUITE 103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5400
Practice Address - Country:US
Practice Address - Phone:559-706-6226
Practice Address - Fax:559-448-0164
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT48313106H00000X
CALPCC912101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional