Maria G Conklin, LAC, MA | |
12021 Sw Laguna Bay Pkwy, Port St Lucie, FL 34987-7755 | |
(908) 227-6302 | |
Not Available |
Full Name | Maria G Conklin |
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Gender | Female |
Speciality | Counselor |
Location | 12021 Sw Laguna Bay Pkwy, Port St Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841452901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 37AC00043200 (New Jersey) | Primary |
Entity Name | Mccd New Jersey Psychiatry Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023729530 PECOS PAC ID: 8921452350 Enrollment ID: O20231003003019 |
Mailing Address | Practice Location Address |
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Maria G Conklin, LAC, MA 12021 Sw Laguna Bay Pkwy, Port St Lucie, FL 34987-7755 Ph: (908) 227-6302 | Maria G Conklin, LAC, MA 12021 Sw Laguna Bay Pkwy, Port St Lucie, FL 34987-7755 Ph: (908) 227-6302 |
Lore Earley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7410 S Us Highway 1, 403, Port St Lucie, FL 34952 Phone: 772-340-5044 | |
Christina Raffa Clements, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5436 Nw Moorhen Trl, Port St Lucie, FL 34986 Phone: 772-924-4707 | |
John Joseph Dlugosz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 518 Sw Prima Vista Blvd, Port St Lucie, FL 34983 Phone: 772-873-8811 | |
Delta Rudeen Ralph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 567 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986 Phone: 309-262-7653 | |
Izabela Jandura, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2301 Sw Cary St, Port St Lucie, FL 34984 Phone: 551-265-2271 | |
Ava Carla Pupuhi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 567 Nw Lake Whitney Pl, Port St Lucie, FL 34986 Phone: 772-337-8164 | |
Ms. Margaret Wilkinson Bynoe, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 Se Hemsing St, Port St Lucie, FL 34984 Phone: 772-878-1916 Fax: 772-878-1916 |