Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jose Dernier Jr

Individual provider Mental Health Counselor · NPI 1174992903

Jose Dernier Jr is a Mental Health Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2015
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Practice location Address checks out

2831 W Queen Ln Apt A
Philadelphia, PA 19129-1031
Phone: (267) 234-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence BH002135 (PA)

Record details

NPI number1174992903
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 22, 2015
Last updated in NPPESSeptember 22, 2015

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