Provider Demographics
NPI:1699178491
Name:JAMISON, DEBBIE DEERE (MMFT)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:DEERE
Last Name:JAMISON
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 ROANTREE DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5526
Mailing Address - Country:US
Mailing Address - Phone:615-568-4985
Mailing Address - Fax:
Practice Address - Street 1:5200 MARYLAND WAY STE 102
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5072
Practice Address - Country:US
Practice Address - Phone:615-568-4985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1065106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist