Provider Demographics
NPI:1245959030
Name:WOODMAN, DEBRA K
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:K
Last Name:WOODMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 RODD ST # 2223
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-4483
Mailing Address - Country:US
Mailing Address - Phone:989-289-6587
Mailing Address - Fax:
Practice Address - Street 1:2900 RODD ST # 2223
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-4483
Practice Address - Country:US
Practice Address - Phone:989-289-6587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MI6401225200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional