Individual
DEBRA TREMBLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LMTF
Contact information
Practice address
124 E 12TH ST, HAYS, KS 67601-3608
(785) 628-3575
(785) 621-2257
Mailing address
124 E 12TH ST, HAYS, KS 67601-3608
(785) 628-3575
(785) 621-2257
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
459
KS
1041C0700X
Clinical Social Worker
Primary
1478
KS
106H00000X
Marriage & Family Therapist
0292
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3063
—
KS
05
—
3306
—
KS
01
—
9094660627
BLUECROSS AND BLUE SHIELD OF KS
KS
05
—
9660627940
—
KS
Enumeration date
01/20/2014
Last updated
01/20/2014
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