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Jerome Derrick
Addiction (Substance Use Disorder) Counselor in North Plainfield, New Jersey
NPI 1033651781

Jerome Derrick is an Addiction (Substance Use Disorder) Counselor based in North Plainfield, NJ and is specialized in Addiction (Substance Use Disorder). Jerome Derrick practices in North Plainfield, NJ. The NPI Number for Jerome Derrick is 1033651781 and holds a License No. 101YA0400X (New Jersey).

The current practice location address for Jerome Derrick is 401 Us Highway 22 W Apt F, North Plainfield, NJ and can be reached out via phone at 973-652-7764.

Location: 401 Us Highway 22 W Apt F, North Plainfield, NJ, 07060-3805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033651781
Provider Name
Jerome Derrick
Credential
Provider Entity Type
Individual
Gender
Male
Address
401 Us Highway 22 W Apt F, North Plainfield, NJ, 07060-3805
Phone Number
973-652-7764
Fax Number
Provider Enumeration Date
11/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Us Highway 22 W Apt F
City
North Plainfield
State
New Jersey
Zip
07060-3805
Phone Number
973-652-7764
Fax Number
person
Provider Business Mailing Address Details
Address
401 Us Highway 22 W Apt F
City
North Plainfield
State
New Jersey
Zip
07060-3805
Phone Number
973-652-7764
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
101YA0400X (New Jersey)
Definition
Definition to come...
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