MEDICARE: DEBORAH ANN COLUMBRO LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	007381	NY
2	101YM0800X	Mental Health Counselor	19681	FL
3	101YP2500X	Professional Counselor	0701007897	VA

General Provider Information

NPI Number	:	1629511761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ANN COLUMBRO LMHC

Provider Business Mailing Address
First Line	:	3546 SECREST LNDG
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110-7183
Country	:	US
Telephone Number	:	631-617-2263
Fax Number	:

Provider Business Practice Location Address
First Line	:	3546 SECREST LNDG
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28110-7183
Country	:	US
Telephone Number	:	631-617-2263
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2016
Last Update Date	:	04/22/2026

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