Healthcare Provider Details

I. General information

NPI: 1659426518
Provider Name (Legal Business Name): DEBORAH RENEE HERMAN L.M.F.T. AND L.P.C.C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. DEBORAH RENEE MORGADO

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 03/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6276 N 1ST ST SUITE 103
FRESNO CA
93710-5400
US

IV. Provider business mailing address

6276 N 1ST ST SUITE 103
FRESNO CA
93710-5400
US

V. Phone/Fax

Practice location:
  • Phone: 559-706-6226
  • Fax: 559-448-0164
Mailing address:
  • Phone: 559-706-6226
  • Fax: 559-448-0164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC912
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT48313
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: