Jennifer Innocenti, | |
244 Woodland Dr, Hammonton, NJ 08037-2517 | |
(609) 267-5928 | |
Not Available |
Full Name | Jennifer Innocenti |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 244 Woodland Dr, Hammonton, 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 |
---|---|---|---|
1962892299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Legacy Treatment Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730594656 PECOS PAC ID: 0042526899 Enrollment ID: O20150825003854 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Innocenti, 770 Woodlane Rd, Westampton, NJ 08060-3804 Ph: (609) 267-5928 | Jennifer Innocenti, 244 Woodland Dr, Hammonton, NJ 08037-2517 Ph: (609) 267-5928 |
Mr. Thomas B. Hendershot, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 North 4th Street, Saa, Hammonton, NJ 08037 Phone: 609-567-7070 | |
Philomena Acquah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 63 Laurel Ln, Hammonton, NJ 08037 Phone: 609-561-3529 Fax: 609-561-2067 | |
Ms. Tamika Green, DIPLOMA Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 Laurel Ln, Hammonton, NJ 08037 Phone: 609-704-9231 Fax: 609-704-8172 | |
Desiree Watson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Laurel Ln, Hammonton, NJ 08037 Phone: 609-704-9231 | |
Christine Diane Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Fern Ln, Hammonton, NJ 08037 Phone: 609-567-6063 Fax: 609-567-6071 | |
Reginald Swanigan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 48 Fern Ln, Hammonton, NJ 08037 Phone: 609-567-6486 | |
Rhasun Tapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Applefield Loop, Hammonton, NJ 08037 Phone: 201-268-1900 |