Individual provider · Type 1 NPI

Jessica Lyn Debolt

Counselor · West Columbia, SC

NPI number 1760150700 Active

Practice location

3969 Southeastern Way
West Columbia, SC 29169-2442

Mailing address

7837 Exeter Ln
Columbia, SC 29223-2519

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X7738 (SC)
Professional Counselor 101YP2500X9089 (SC)

Counselor: 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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About NPI 1760150700

Jessica Lyn Debolt's National Provider Identifier is 1760150700, issued on Sep 3, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in West Columbia, SC. The record was last updated on Nov 4, 2025.