Provider Demographics
NPI:1154832350
Name:DEBOWLES, JUSTEN LEE (LPC)
Entity Type:Individual
Prefix:
First Name:JUSTEN
Middle Name:LEE
Last Name:DEBOWLES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:846 STONEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-9042
Mailing Address - Country:US
Mailing Address - Phone:404-291-5073
Mailing Address - Fax:
Practice Address - Street 1:2498 JETT FERRY RD STE 205
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-3062
Practice Address - Country:US
Practice Address - Phone:404-740-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-16
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health