Jessica Debarry, LAPC
Individual provider Active NPI Mental Health Counselor · Darien, GA
NPI 1013781285 · NPPES record last updated Nov 23, 2023
Key facts
- NPI
- 1013781285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LAPC009074 (GA)
- Practice address
- 1026 Blount Crossing Rd SE Unit a
Darien, GA 31305-3300 - Phone
- (912) 223-7558
- NPI assigned
- Nov 8, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAPC009074 | GA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAPC009074 | GA | Yes |
Addresses
Primary practice location
1026 Blount Crossing Rd SE Unit a
Darien, GA 31305-3300
Mailing address
1026 Blount Crossing Rd SE Unit a
Darien, GA 31305-3300
Phone (912) 223-7558
Other providers in Darien, GA
- Coastal Community Health Services, Inc.
- Coastal Community Health Services, Inc.
- Katie C Daniels
- Darien Primary Care Inc
- Darien Women'S Health
- Judith Kalita Denton
- Stephanie Renee Dunn
- Ethan Edmund Railee Faudree
- Stephanie Fleming
- Lisa Marie Futch
All providers in Darien, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.