Individual provider · Type 1 NPI
Jill Marie Deperi, LPC
Professional Counselor · Fair Lawn, NJ
NPI number
1508350869
Active
Practice location
22-08 Route 208 South
Fair Lawn, NJ 07410
Mailing address
2 Tecumseh Trail
Oakland, NJ 07436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00679200 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1508350869
Jill Marie Deperi, LPC's National Provider Identifier is 1508350869, issued on Jun 20, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fair Lawn, NJ. The record was last updated on Feb 10, 2020.