Individual
DEREK BACHARACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
94 VALLEY RD, MONTCLAIR, NJ 07042-2211
(973) 902-7093
Mailing address
94 VALLEY RD, MONTCLAIR, NJ 07042-2211
(973) 902-7093
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00750900
NJ
Other
Enumeration date
11/07/2017
Last updated
07/20/2021
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