Kathleen Anne Lee, LPC, LCADC | |
411 Kaila Ct, Shamong, NJ 08088-9688 | |
(609) 401-2012 | |
(609) 232-7271 |
Full Name | Kathleen Anne Lee |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 411 Kaila Ct, Shamong, 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 |
---|---|---|---|
1134559255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00207100 (New Jersey) | Secondary |
101YP2500X | Counselor - Professional | 37PC00440600 (New Jersey) | Primary |
Entity Name | Tranquil Pines Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114683596 PECOS PAC ID: 9032555883 Enrollment ID: O20240314003183 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Anne Lee, LPC, LCADC 411 Kaila Ct, Shamong, NJ 08088-9688 Ph: (609) 401-2012 | Kathleen Anne Lee, LPC, LCADC 411 Kaila Ct, Shamong, NJ 08088-9688 Ph: (609) 401-2012 |
Mr. Samuel Lee Hayes Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 Old Indian Mills Rd, Shamong, NJ 08088 Phone: 609-832-8865 | |
Mary Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Millstone Dr, Shamong, NJ 08088 Phone: 609-760-0293 | |
Mrs. Hollie Sue Okeefe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Grassy Lake Rd, Shamong, NJ 08088 Phone: 609-801-2939 | |
Skyler Stillwaggon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 Old Indian Mills Rd, Shamong, NJ 08088 Phone: 609-845-3715 | |
Dana Marie Gibilisco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Silver Lake Dr, Shamong, NJ 08088 Phone: 848-459-5943 | |
Devon Berry, AAS.HUS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 Old Indian Mills Road, Shamong Road Group Home, Shamong, NJ 08088 Phone: 609-267-5928 |