Jane Dougherty, LPC | |
13 Main St # 2, Bradley Beach, NJ 07720-1027 | |
(732) 546-4852 | |
Not Available |
Full Name | Jane Dougherty |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 13 Main St # 2, Bradley Beach, 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 |
---|---|---|---|
1053859546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 37PC00040100 (New Jersey) | Primary |
Entity Name | Jane S Dougherty Lpc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780403576 PECOS PAC ID: 4789119801 Enrollment ID: O20241127000027 |
Mailing Address | Practice Location Address |
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Jane Dougherty, LPC 13 Main St # 2, Bradley Beach, NJ 07720-1027 Ph: (732) 546-4852 | Jane Dougherty, LPC 13 Main St # 2, Bradley Beach, NJ 07720-1027 Ph: (732) 546-4852 |
Brittany Ann Barnstead, LPC, ATR Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Park Place Ave, Bradley Beach, NJ 07720 Phone: 732-895-1642 | |
Janine Baadarani, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611b Park Place Ave, Bradley Beach, NJ 07720 Phone: 908-596-1329 | |
Dr. Thomas Anthony Conklin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Ocean Ave, Bradley Beach, NJ 07720 Phone: 646-335-3826 |