Individual
MR. DEREK XAVIER SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 PITTMAN LN, SICKLERVILLE, NJ 08081-2009
(551) 998-1216
Mailing address
2 PITTMAN LN, SICKLERVILLE, NJ 08081-2009
(551) 998-1216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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