Mary Jean Jose, LAC is a
Counselor - Mental Health based in River Vale, New Jersey. Mary Jean Jose is licensed to practice in New Jersey (license number 37AC00490600) and her current practice location is
619 Bernita Dr, River Vale, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 689-0171.
NPI number for Mary Jean Jose is 1619625563 and her current mailing address is 619 Bernita Dr, River Vale, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619625563.
Healthcare Provider's Profile
Full Name | Mary Jean Jose |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 619 Bernita Dr, River Vale, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619625563
- Provider Enumeration Date: 03/10/2022
- Last Update Date: 03/10/2022
Medical Identifiers
Medical identifiers for Mary Jean Jose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619625563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 37AC00490600 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Jean Jose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Jean Jose, LAC 619 Bernita Dr, River Vale, NJ 07675-5905 Ph: (732) 689-0171 | Mary Jean Jose, LAC 619 Bernita Dr, River Vale, NJ 07675-5905 Ph: (732) 689-0171 |
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