| Doctor Name: | JENNIFER ROSE DEBUSMAN |
| NPI Number: | 1164584751 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 5393 |
| Business Practice Address: | 1000 N 1st St Albemarle, NC - 280012833 |
| Business Phone Number: | 7049832117 |
| Business Fax Number: | |
| Mailing Address: | 1305 S Cannon Blvd, KANNAPOLIS |
| State: | NC |
| Postal Code: | 280836232 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 11/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5393 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |