Ariana Gordon, LPC, LCADC | |
13 Vermeer Dr Apt 20, South Amboy, NJ 08879-2346 | |
(732) 877-4348 | |
Not Available |
Full Name | Ariana Gordon |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 13 Vermeer Dr Apt 20, South Amboy, 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 |
---|---|---|---|
1790413797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00355500 (New Jersey) | Secondary |
101YP2500X | Counselor - Professional | 37PC00857800 (New Jersey) | Primary |
Entity Name | Brightside Medical Of New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811524754 PECOS PAC ID: 5799141750 Enrollment ID: O20230817001530 |
Mailing Address | Practice Location Address |
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Ariana Gordon, LPC, LCADC 13 Vermeer Dr Apt 20, South Amboy, NJ 08879-2346 Ph: (732) 877-4348 | Ariana Gordon, LPC, LCADC 13 Vermeer Dr Apt 20, South Amboy, NJ 08879-2346 Ph: (732) 877-4348 |
Mr. Roque Manuel Crespo Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lower Main St, South Amboy, NJ 08879 Phone: 732-727-2555 Fax: 732-727-0255 | |
Ms. Lisa Cecelia Giacomiazzio, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, South Amboy, NJ 08879 Phone: 732-727-2555 | |
Margaret M Wagner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, South Amboy, NJ 08879 Phone: 732-727-2555 Fax: 732-727-0255 | |
Ms. Justine Robe, L.A.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lower Main Street, South Amboy, NJ 08879 Phone: 732-727-2555 | |
Teloid Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lower Main Street, South Amboy, NJ 08879 Phone: 732-727-2555 | |
Mrs. Himilce Reynoso, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, South Amboy, NJ 08879 Phone: 732-727-2555 | |
Mrs. Brenda Olivieri Benson, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Main St Lowr, South Amboy, NJ 08879 Phone: 732-727-2555 |