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

Individual provider Counselor · NPI 1912369117

Susan-Jo Derickson is a Counselor in Hainesport, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

54 Mount Laurel Rd
Hainesport, NJ 08036-2712
Phone: (609) 261-0951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1912369117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 26, 2016
Last updated in NPPESMarch 26, 2016