Provider Demographics
NPI:1730455296
Name:ROOKLIN, DEBRA SUE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:SUE
Last Name:ROOKLIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:SUE
Other - Last Name:GOLDSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:NORTH QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-0004
Mailing Address - Country:US
Mailing Address - Phone:617-532-5554
Mailing Address - Fax:617-532-5560
Practice Address - Street 1:2 BLACKSTONE PARK
Practice Address - Street 2:
Practice Address - City:NORTH QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-0004
Practice Address - Country:US
Practice Address - Phone:617-532-5554
Practice Address - Fax:617-532-5560
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA730101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health