Individual provider · Type 1 NPI
Mary T. Derienzo, LPC
Professional Counselor · Garwood, NJ
NPI number
1003515503
Active
Practice location
818 Center St
Garwood, NJ 07027-1416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00071500 (NJ) |
Professional Counselor: Definition to come...
About NPI 1003515503
Mary T. Derienzo, LPC's National Provider Identifier is 1003515503, issued on Feb 23, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Garwood, NJ. The record was last updated on Feb 23, 2023.