Provider Demographics
NPI:1770700148
Name:FROST, DEBORAH SUZANNE (MS,CRC,LPC,QRP)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:SUZANNE
Last Name:FROST
Suffix:
Gender:F
Credentials:MS,CRC,LPC,QRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1751
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25326-1751
Mailing Address - Country:US
Mailing Address - Phone:304-344-1751
Mailing Address - Fax:304-344-1799
Practice Address - Street 1:179 SUMMERS ST
Practice Address - Street 2:PEOPLES BUILDING SUITE 607
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-2163
Practice Address - Country:US
Practice Address - Phone:304-344-1751
Practice Address - Fax:304-344-1799
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor