Rodrigues Pereira, Jediedjah Moshe

Rodrigues Pereira, Jediedjah Moshe is an sole proprietor health care provider with primary practice located at 1212 Todd Ct , Lakewood NJ 08701-2256. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rodrigues Pereira, Jediedjah Moshe can be contacted via phone (732) 814-4648.

Contact Information

Primary practice address
1212 Todd Ct Lakewood NJ 08701-2256
Phone: (732) 814-4648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05605500 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 37LC0021100 New Jersey

Profile Details

NPI number 1720329576
LBN Legal business name Rodrigues Pereira, Jediedjah Moshe
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2013
Last updated Jun 16th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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