Mrs Miriam Rebekah Egan, LAC, NCC | |
795 Woodlane Rd, Westampton, NJ 08060-3832 | |
(609) 267-1377 | |
Not Available |
Full Name | Mrs Miriam Rebekah Egan |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 795 Woodlane Rd, Westampton, 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 |
---|---|---|---|
1881153732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37AC00387100 (New Jersey) | Primary |
Entity Name | Main Street Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043610140 PECOS PAC ID: 7113317694 Enrollment ID: O20211124002278 |
Mailing Address | Practice Location Address |
---|---|
Mrs Miriam Rebekah Egan, LAC, NCC 795 Woodlane Rd, Westampton, NJ 08060-3832 Ph: (609) 267-1377 | Mrs Miriam Rebekah Egan, LAC, NCC 795 Woodlane Rd, Westampton, NJ 08060-3832 Ph: (609) 267-1377 |
Ashley Coralluzzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Ashley D Burks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 856-267-5928 | |
Hayley Hardin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Safa Alston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Brenda Formanek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Constance Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Kiamarae Mathes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 |