Jerome Derrick

NPI #1033651781 in North Plainfield, New Jersey

Provider Information

NPI Number
1033651781
Entity Type
Individual
Name
Jerome Derrick
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Nov 12, 2016
Last Updated
Nov 12, 2016

Practice Location

Address
401 US HIGHWAY 22 W APT F
ZIP Code
07060-3805
Phone
(973) 652-7764

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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