Provider Demographics
NPI:1548313042
Name:GOTEN, DEBRA JEAN (LMHC LADCL LSW)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:JEAN
Last Name:GOTEN
Suffix:
Gender:F
Credentials:LMHC LADCL LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:S DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748
Mailing Address - Country:US
Mailing Address - Phone:508-990-0907
Mailing Address - Fax:508-990-0907
Practice Address - Street 1:345 UNION ST
Practice Address - Street 2:1 SW
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3679
Practice Address - Country:US
Practice Address - Phone:508-994-0848
Practice Address - Fax:508-994-0844
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1757101YA0400X
MA248101YM0800X
MA310240104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker