Individual provider · Type 1 NPI
Jose Dernier Jr.
Mental Health Counselor · Philadelphia, PA
NPI number
1174992903
Active
Practice location
2831 W Queen Ln Apt A
Philadelphia, PA 19129-1031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | BH002135 (PA) |
Mental Health Counselor: Definition to come...
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About NPI 1174992903
Jose Dernier Jr.'s National Provider Identifier is 1174992903, issued on Sep 22, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 22, 2015.