person
Jennifer D Derisse, LCADC
Addiction (Substance Use Disorder) Counselor in Kearny, New Jersey
NPI 1336784826

Jennifer D Derisse is an Addiction (Substance Use Disorder) Counselor based in Kearny, NJ and is specialized in Addiction (Substance Use Disorder). Jennifer D Derisse practices in Kearny, NJ and has the professional credentials of LCADC. The NPI Number for Jennifer D Derisse is 1336784826 and holds a License No. 37LC00296100 (New Jersey).

The current practice location address for Jennifer D Derisse is 206 Bergen Ave, Kearny, NJ and can be reached out via phone at 732-210-0509.

Location: 206 Bergen Ave, Kearny, NJ, 07032-3384
person
Provider Profile Details
NPI Number
1336784826
Provider Name
Jennifer D Derisse
Credential
LCADC
Provider Entity Type
Individual
Gender
Female
Address
206 Bergen Ave, Kearny, NJ, 07032-3384
Phone Number
732-210-0509
Fax Number
Provider Enumeration Date
11/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
206 Bergen Ave
City
State
Zip
07032-3384
Phone Number
732-210-0509
Fax Number
person
Provider Business Mailing Address Details
Address
206 Bergen Ave
City
State
Zip
07032-3384
Phone Number
732-210-0509
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37LC00296100 ()
Definition
Definition to come...
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