person
Jessica Lyn Debolt
NPI 1760150700

Jessica Lyn Debolt is a Counselor based in Columbia, SC. Jessica Lyn Debolt practices in West Columbia, SC. The NPI Number for Jessica Lyn Debolt is 1760150700 and holds a License No. 7738 (South Carolina).

The current practice location address for Jessica Lyn Debolt is 3969 Southeastern Way, West Columbia, SC and can be reached out via phone at 803-851-4049.

Location: 3969 Southeastern Way, West Columbia, SC, 29223-2519
person
Provider Profile Details
NPI Number
1760150700
Provider Name
Jessica Lyn Debolt
Credential
Provider Entity Type
Individual
Gender
Female
Address
3969 Southeastern Way, West Columbia, SC, 29223-2519
Phone Number
803-851-4049
Fax Number
Provider Enumeration Date
09/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3969 Southeastern Way
City
State
Zip
29169-2442
Phone Number
803-851-4049
Fax Number
person
Provider Business Mailing Address Details
Address
3969 Southeastern Way
City
State
Zip
29169-2442
Phone Number
803-851-4049
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
7738 (South Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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