Ann Lee, | |
22-08 Route 208, Fair Lawn, NJ 07410-2609 | |
(201) 956-6363 | |
Not Available |
Full Name | Ann Lee |
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Gender | Female |
Speciality | Counselor |
Location | 22-08 Route 208, Fair Lawn, 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 |
---|---|---|---|
1720410228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 37AC00095100 (New Jersey) | Primary |
Entity Name | Wellsprings Counseling Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285844050 PECOS PAC ID: 7618314113 Enrollment ID: O20240320000285 |
Mailing Address | Practice Location Address |
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Ann Lee, 16 Baldwin Ter, Livingston, NJ 07039-2702 Ph: (973) 535-6443 | Ann Lee, 22-08 Route 208, Fair Lawn, NJ 07410-2609 Ph: (201) 956-6363 |
Stephanie Domnitz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17-07 Romaine St, Fair Lawn, NJ 07410 Phone: 201-797-2660 | |
Michael T Leubling, MED, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 17-07 Romaine St, Fair Lawn, NJ 07410 Phone: 201-796-9482 | |
Ms. Kathleen Lynch, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22-08 Route 208 Ste 2, Fair Lawn, NJ 07410 Phone: 844-978-0008 | |
Ms. Joanne Mccarthy, LPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22-08 Route 208, Fair Lawn, NJ 07410 Phone: 201-956-6363 Fax: 201-956-6026 | |
Mrs. Edilia P Kelly, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22-08 Route 208, Fair Lawn, NJ 07410 Phone: 201-956-6363 | |
Beatrice Jessica Turenne, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22-08 Route 208 Ste 16, Fair Lawn, NJ 07410 Phone: 201-956-6363 | |
Jennifer Leighton, MSW, LSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 17-07 Romaine St, Fair Lawn, NJ 07410 Phone: 201-797-2660 Fax: 201-797-5025 |