Provider Demographics
NPI:1023693447
Name:DECHERT, TERRYANN MAREE (CADC)
Entity type:Individual
Prefix:MISS
First Name:TERRYANN
Middle Name:MAREE
Last Name:DECHERT
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-5001
Mailing Address - Country:US
Mailing Address - Phone:201-600-1812
Mailing Address - Fax:973-372-1096
Practice Address - Street 1:405 W ELM ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-5001
Practice Address - Country:US
Practice Address - Phone:201-600-1812
Practice Address - Fax:973-372-1096
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37CA000687000101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)