Jennifer D Derisse, LCADC
NPI #1336784826 in Kearny, New Jersey
Provider Information
- NPI Number
- 1336784826
- Entity Type
- Individual
- Name
- Jennifer D Derisse, LCADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCADC
- Enumeration Date
- Nov 8, 2019
- Last Updated
- Nov 8, 2019
Practice Location
- Address
- 206 BERGEN AVE
- City
- Kearny
- State
- New Jersey
- ZIP Code
- 07032-3384
- Phone
- (732) 210-0509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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