Healthcare Provider Details

I. General information

NPI: 1134279797
Provider Name (Legal Business Name): DEBRA NUNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBRA LEFOREST C.B.T.

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 MISSION AVE
SAN RAFAEL CA
94901-6106
US

IV. Provider business mailing address

4310 LANGNER AVE UNIT B
SANTA ROSA CA
95407-8372
US

V. Phone/Fax

Practice location:
  • Phone: 415-457-6964
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: