| Jerome Derrick, | |
|
401 Us Highway 22 W Apt F, North Plainfield, NJ 07060-3805 | |
| (973) 652-7764 | |
| Not Available |
| Full Name | Jerome Derrick |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 401 Us Highway 22 W Apt F, North Plainfield, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033651781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 101YA0400X (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Derrick, 401 Us Highway 22 W Apt F, North Plainfield, NJ 07060-3805 Ph: (973) 652-7764 | Jerome Derrick, 401 Us Highway 22 W Apt F, North Plainfield, NJ 07060-3805 Ph: (973) 652-7764 |
Mr. Jeffrey Brutus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 292 Brook Ave, North Plainfield, NJ 07060 Phone: 973-777-2848 | |
Detria Coles-simmons, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Hudson Ave, North Plainfield, NJ 07060 Phone: 908-809-5579 | |
Heather Keith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1165 Us Highway 22 Apt 16, North Plainfield, NJ 07060 Phone: 315-725-9512 | |
Salome Ferreira, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Wilson Ave, North Plainfield, NJ 07060 Phone: 908-769-6000 | |
Victor Alfonso Perez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 286 Duer St, North Plainfield, NJ 07060 Phone: 908-205-9043 | |
Ms. Valerie Wright, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 168 Greenbrook Rd, North Plainfield, NJ 07060 Phone: 908-514-5754 Fax: 908-791-9751 |