Individual provider · Type 1 NPI

Jennifer A. Derico

Mental Health Counselor · New London, CT

NPI number 1902354681 Active

Practice location

255 Hempstead St
New London, CT 06320-6204

Fax (860) 442-5909

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902354681

Jennifer A. Derico's National Provider Identifier is 1902354681, issued on Sep 12, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New London, CT. The record was last updated on Sep 12, 2016.