Arlene K Licata, MA | |
146 Lakeview Dr S, Suite 300, Gibbsboro, NJ 08026-1018 | |
(856) 261-4011 | |
(856) 784-1102 |
Full Name | Arlene K Licata |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 146 Lakeview Dr S, Gibbsboro, 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 |
---|---|---|---|
1285820423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00307100 (New Jersey) | Primary |
Entity Name | Ccc Counseling Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366848582 PECOS PAC ID: 3870999493 Enrollment ID: O20210908000435 |
Mailing Address | Practice Location Address |
---|---|
Arlene K Licata, MA 146 Lakeview Dr S, Suite 300, Gibbsboro, NJ 08026-1018 Ph: (856) 261-4011 | Arlene K Licata, MA 146 Lakeview Dr S, Suite 300, Gibbsboro, NJ 08026-1018 Ph: (856) 261-4011 |
Ms. Tricia Ann Giordano, MA, LPC, LCADC, CTTS Counselor Medicare: Not Enrolled in Medicare Practice Location: 146 Lakeview Dr S, Suite 400, Gibbsboro, NJ 08026 Phone: 908-881-6355 | |
Cierah Greene, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 146 S Lakeview Dr Ste 203, Gibbsboro, NJ 08026 Phone: 856-433-8615 | |
Mrs. Lisa Ann Shorter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 146 S Lakeview Dr, Gibbsboro, NJ 08026 Phone: 856-433-8615 | |
Mrs. Tiffany L Smith, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Foster Ave Ste 1a, Gibbsboro, NJ 08026 Phone: 856-782-6749 |