Individual provider · Type 1 NPI

Ashley Derdzikowski, LAC

Counselor · Jersey City, NJ

NPI number 1003352303 Active

Practice location

600 Pavonia Ave
Jersey City, NJ 07306

Call (732) 228-8060 Map

Fax (201) 222-7676

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC00259500 (NJ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003352303

Ashley Derdzikowski, LAC's National Provider Identifier is 1003352303, issued on Jan 10, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jersey City, NJ. The record was last updated on Jan 10, 2017.