Jennifer Obermiller, LPC | |
130 Powerville Rd, Boonton, NJ 07005-8705 | |
(973) 316-1982 | |
Not Available |
Full Name | Jennifer Obermiller |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 130 Powerville Rd, Boonton, 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 |
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1740797075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 37PC00591000 (New Jersey) | Primary |
Entity Name | Lakeside Counseling Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578010674 PECOS PAC ID: 0840568754 Enrollment ID: O20170619001045 |
Mailing Address | Practice Location Address |
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Jennifer Obermiller, LPC 130 Powerville Rd, Boonton, NJ 07005-8705 Ph: () - | Jennifer Obermiller, LPC 130 Powerville Rd, Boonton, NJ 07005-8705 Ph: (973) 316-1982 |
Mr. Daniel Harris, LCADC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 212 Division St, Boonton, NJ 07005 Phone: 973-267-6000 | |
Caitlin N Zarro, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 W Main St, Boonton, NJ 07005 Phone: 973-219-6765 Fax: 973-300-1443 | |
Janine Heinis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 W Main St, Boonton, NJ 07005 Phone: 201-214-5725 | |
Mr. Mark Allen Wallman Sr., L.P.C., L.C.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 Kelly Ln, Boonton, NJ 07005 Phone: 973-334-6006 | |
Charisse Avoletta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Powerville Rd, Boonton, NJ 07005 Phone: 973-316-1816 | |
Miss Stacy Lynn Dutka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Powerville Rd, Boonton, NJ 07005 Phone: 973-316-1816 | |
Jessica Michelle Senyszyn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Powerville Rd, Boonton, NJ 07005 Phone: 973-316-1893 |