Individual provider · Type 1 NPI
Jessica Jean Deroche, M.ED.
Professional Counselor · Lewisville, TX
NPI number
1023256583
Active
Practice location
571 S Edmonds Ln Ste 102
Lewisville, TX 75067-3645
Fax (972) 453-4259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 61440 (TX) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1023256583
Jessica Jean Deroche, M.ED.'s National Provider Identifier is 1023256583, issued on Jan 21, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lewisville, TX. The record was last updated on Jan 21, 2009.