Adrienne Harlem Mariano, MA, LAC | |
2 Park Ave, Dumont, NJ 07628-3004 | |
(015) 670-0592 | |
Not Available |
Full Name | Adrienne Harlem Mariano |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2 Park Ave, Dumont, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902395569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Vantage Health System, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518939917 PECOS PAC ID: 8325033178 Enrollment ID: O20040420000212 |
Mailing Address | Practice Location Address |
---|---|
Adrienne Harlem Mariano, MA, LAC 15a Forshee Cir, Montvale, NJ 07645-1772 Ph: (908) 803-6232 | Adrienne Harlem Mariano, MA, LAC 2 Park Ave, Dumont, NJ 07628-3004 Ph: (015) 670-0592 |
Alexis Cuervo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Park Ave, Dumont, NJ 07628 Phone: 201-385-4400 | |
Lindsey Julia Mattsson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 175 Washington Ave Apt F, Dumont, NJ 07628 Phone: 201-801-7038 | |
John Zellars, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Park Avenue, Dumont, NJ 07628 Phone: 201-385-4400 Fax: 201-384-7067 | |
Ada Aguilar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Hickory St, Dumont, NJ 07628 Phone: 201-562-4573 | |
Desmond Peters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Park Ave, Dumont, NJ 07628 Phone: 201-385-4400 | |
Mr. Joe T. Varughese, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 76 Wilcox St, Dumont, NJ 07628 Phone: 732-718-1942 | |
Trista Ellyn Galvin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Lafayette Ave, Dumont, NJ 07628 Phone: 551-449-8180 |