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General NPI Number Information
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NPI Number | 1891046132
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Entity Type | Individual
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Provider Name | DEBORAH J ISAACS PHD, LPC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 877 N 8TH ST W
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City | RIVERTON
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State | WY
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Zip | 82501-2349
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Country | US
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Telephone | 307-855-5315
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Fax | 307-333-0622
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Provider Business Mailing Address
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Address Line | PO BOX 1444
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City | RIVERTON
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State | WY
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Zip | 82501-0160
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Country | US
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Telephone | 307-840-3243
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2058
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License Number State | WY
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