Bridgette Deboer, M.A.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gardnerville, NV
NPI 1447598404 · NPPES record last updated Jan 26, 2013
Key facts
- NPI
- 1447598404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 00854 (NV)
- Practice address
- 1422 Mission St
Gardnerville, NV 89410-5239 - Phone
- (775) 782-4202
- Fax
- (775) 782-5055
- NPI assigned
- Jan 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00854 | NV | MD | Addiction (Substance Use Disorder) Counselor |
| MI0334 | NV | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00854 | NV | Yes |
| Mental Health Counselor | 101YM0800X | MI0334 | NV |
Addresses
Primary practice location
1422 Mission St
Gardnerville, NV 89410-5239
Mailing address
1446 Sally LN
Gardnerville, NV 89460-8240
Phone (775) 450-6632
Other providers in Gardnerville, NV
- Lance John Crowley
- Taylor Christensen Cruz
- Christopher David Dack
- Christine Davis
- Gisele Davis
- Kane Matthew Deem
- Tamara Degiovanni
- Claudia Carmona Delange
- Tanya Marie Demichele
- Tami Denhoff
All providers in Gardnerville, NV · Addiction (Substance Use Disorder) Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.