Provider Demographics
NPI:1003792961
Name:MARRAMA, DEBRA (PROGRAM DIRECTOR)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:MARRAMA
Suffix:
Gender:F
Credentials:PROGRAM DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3467 EDGEWATER PL
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-8398
Mailing Address - Country:US
Mailing Address - Phone:707-732-8105
Mailing Address - Fax:707-667-0010
Practice Address - Street 1:3467 EDGEWATER PL
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-8398
Practice Address - Country:US
Practice Address - Phone:707-732-8105
Practice Address - Fax:707-667-0010
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health