person
Jose Dernier Jr.
Mental Health Counselor in Philadelphia, Pennsylvania
NPI 1174992903

Jose Dernier Jr. is a Mental Health Counselor based in Philadelphia, PA and is specialized in Mental Health. Jose Dernier Jr. practices in Philadelphia, PA. The NPI Number for Jose Dernier Jr. is 1174992903 and holds a License No. BH002135 (Pennsylvania).

The current practice location address for Jose Dernier Jr. is 2831 W Queen Ln Apt A, Philadelphia, PA and can be reached out via phone at 267-234-3700.

Location: 2831 W Queen Ln Apt A, Philadelphia, PA, 19129-1031
person
Provider Profile Details
NPI Number
1174992903
Provider Name
Jose Dernier Jr.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2831 W Queen Ln Apt A, Philadelphia, PA, 19129-1031
Phone Number
267-234-3700
Fax Number
Provider Enumeration Date
09/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2831 W Queen Ln Apt A
City
State
Zip
19129-1031
Phone Number
267-234-3700
Fax Number
person
Provider Business Mailing Address Details
Address
2831 W Queen Ln Apt A
City
State
Zip
19129-1031
Phone Number
267-234-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
BH002135 (Pennsylvania)
Definition
Definition to come...
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