Individual provider · Type 1 NPI

Derrick Jeter

Mental Health Counselor · Westampton, NJ

NPI number 1154855047 Active

Practice location

770 Woodlane Rd
Westampton, NJ 08060-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1154855047

Derrick Jeter's National Provider Identifier is 1154855047, issued on Apr 18, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Apr 18, 2017.