Michele Ann Corker, | |
1135 Clifton Ave Ste 103, Clifton, NJ 07013-3643 | |
(973) 988-4241 | |
(718) 278-4057 |
Full Name | Michele Ann Corker |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1135 Clifton Ave Ste 103, Clifton, 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 |
---|---|---|---|
1366008666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00560800 (New Jersey) | Primary |
Entity Name | Rutgers Health Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891956298 PECOS PAC ID: 2466346770 Enrollment ID: O20040419001021 |
Mailing Address | Practice Location Address |
---|---|
Michele Ann Corker, 70a Fremont St Apt 8, Bloomfield, NJ 07003-3429 Ph: (973) 619-5831 | Michele Ann Corker, 1135 Clifton Ave Ste 103, Clifton, NJ 07013-3643 Ph: (973) 988-4241 |
Ms. Sandra Chaves Dalton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 136 Kingsland Rd Ste 1034, Clifton, NJ 07014 Phone: 973-797-9707 | |
Ms. Tiffany Michelle Boyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Clifton Ave Ste 202, Clifton, NJ 07013 Phone: 718-215-5311 | |
Ms. Joanna Lynn Buset, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 Passaic Ave, Suite 565, Clifton, NJ 07012 Phone: 973-815-0777 | |
Ms. Aja Redmond, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 777 Bloomfield Ave, Clifton, NJ 07012 Phone: 973-594-0125 Fax: 973-594-0536 | |
Joseph David Retik, LPC, CCH Counselor Medicare: Not Enrolled in Medicare Practice Location: 470 Colfax Ave, Clifton, NJ 07013 Phone: 973-473-2343 Fax: 973-473-2308 | |
Carlos Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 Broad St Ste 2, Clifton, NJ 07013 Phone: 973-207-5043 | |
Judy Derosena, M.ED.,LAC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Clifton Ave Ste 207, Clifton, NJ 07013 Phone: 973-988-4241 |