Provider Demographics
NPI:1063430270
Name:SHERMAN, DEBRA LYNN (LPCC, CCDC I)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:LYNN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LPCC, CCDC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4292 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-1676
Mailing Address - Country:US
Mailing Address - Phone:614-471-5381
Mailing Address - Fax:
Practice Address - Street 1:338 GRANVILLE ST
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2990
Practice Address - Country:US
Practice Address - Phone:614-475-7090
Practice Address - Fax:614-475-5208
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0002354101YM0800X, 101YA0400X
OHE.0002354101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)