Individual
MRS. JESSICA DEPUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
419 BETHEL RD, SOMERS POINT, NJ 08244-2189
(609) 788-4698
Mailing address
1121 BROAD ST, NORTHFIELD, NJ 08225-2204
(609) 350-4760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00282200
NJ
104100000X
Social Worker
44SL06021100
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06229200
NJ
Other
Enumeration date
07/11/2019
Last updated
11/06/2023
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