Individual provider · Type 1 NPI

Jennifer Debastiani

Mental Health Counselor · Jacksonville, NC

NPI number 1639615388 Active

Practice location

102 Elizabeth St, Suite C
Jacksonville, NC 28540-5676

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1639615388

Jennifer Debastiani's National Provider Identifier is 1639615388, issued on Jan 18, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, NC. The record was last updated on Jan 18, 2017.