Provider Demographics
NPI:1043711625
Name:PRESCOTT, DEBBIE L (LCPC)
Entity type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:L
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 MANCHESTER ROAD
Mailing Address - Street 2:SUITE 1040
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187
Mailing Address - Country:US
Mailing Address - Phone:630-802-2257
Mailing Address - Fax:630-596-8636
Practice Address - Street 1:2100 MANCHESTER ROAD
Practice Address - Street 2:SUITE 1040
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187
Practice Address - Country:US
Practice Address - Phone:630-802-2257
Practice Address - Fax:630-596-8636
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.011385101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health