Provider Demographics
NPI:1558701474
Name:JARRETT, DEBRA DENISE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:DENISE
Last Name:JARRETT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3578 VAUGHN ROAD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106
Mailing Address - Country:US
Mailing Address - Phone:334-590-4737
Mailing Address - Fax:
Practice Address - Street 1:8436 CROSSLAND LOOP
Practice Address - Street 2:SUITE 205
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8521
Practice Address - Country:US
Practice Address - Phone:334-590-4737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL390106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist