Individual provider · Type 1 NPI

Derrick Medearis

Mental Health Counselor · Berlin, NJ

NPI number 1063677052 Active

Practice location

128 Cross Keys Rd
Berlin, NJ 08009-9201

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063677052

Derrick Medearis's National Provider Identifier is 1063677052, issued on Jul 19, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berlin, NJ. The record was last updated on Jul 19, 2008.