Provider Demographics
NPI:1861541765
Name:DEEBLE, ROBERT EDGAR (MA, LMHC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:EDGAR
Last Name:DEEBLE
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 NW DOCK PL STE 3
Mailing Address - Street 2:FOLKTOWN COUNSELING
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4813
Mailing Address - Country:US
Mailing Address - Phone:206-274-5889
Mailing Address - Fax:
Practice Address - Street 1:1900 NW DOCK PL STE 3
Practice Address - Street 2:FOLKTOWN COUNSELING
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4813
Practice Address - Country:US
Practice Address - Phone:206-274-5889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00051199101YP2500X
WALH60090293101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional