Leslie F Small, MS LPC | |
9 Davison Ave, Suite #3, Jamesburg, NJ 08831-1373 | |
(732) 997-0214 | |
Not Available |
Full Name | Leslie F Small |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 9 Davison Ave, Jamesburg, 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 |
---|---|---|---|
1811262868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 37PC00439900 (New Jersey) | Secondary |
101YP2500X | Counselor - Professional | 37PC00439900 (New Jersey) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20201026001145 |
Mailing Address | Practice Location Address |
---|---|
Leslie F Small, MS LPC 9 Davison Ave Ste 7, Jamesburg, NJ 08831-1373 Ph: (732) 997-0214 | Leslie F Small, MS LPC 9 Davison Ave, Suite #3, Jamesburg, NJ 08831-1373 Ph: (732) 997-0214 |
Marguerite Villepontoux, Counselor Medicare: Not Enrolled in Medicare Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 Fax: 732-561-1165 | |
Sade Ashanti Glenn, LPC Counselor Medicare: Medicare Enrolled Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 | |
Mrs. Alla Krutyansky, MSW, LSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 Fax: 973-836-0349 | |
Laura Sansum, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 | |
Lauren N Bennett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 | |
Alison Summer Iris Slater, Counselor Medicare: Not Enrolled in Medicare Practice Location: 79 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-561-8555 |