Ms Tina Marie Butler, LPC | |
105 E Union Ave, Bound Brook, NJ 08805 | |
(732) 469-7899 | |
Not Available |
Full Name | Ms Tina Marie Butler |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 105 E Union Ave, Bound Brook, 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 |
---|---|---|---|
1790997575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC000281300 (New Jersey) | Primary |
Entity Name | Grace Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003323155 PECOS PAC ID: 0446510895 Enrollment ID: O20180205001750 |
Mailing Address | Practice Location Address |
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Ms Tina Marie Butler, LPC 217 Lexington Blvd, Apt 25, Clark, NJ 07066 Ph: (908) 590-4794 | Ms Tina Marie Butler, LPC 105 E Union Ave, Bound Brook, NJ 08805 Ph: (732) 469-7899 |
Csilla Hajnal, AC Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Dr. Jennifer K Dixon, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 W High St, Bound Brook, NJ 08805 Phone: 732-322-9766 | |
Donna Puglia, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Ivelisse A Reyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Heather Cooper Barry, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Dr. Marion Rollings, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 W High St, Bound Brook, NJ 08805 Phone: 908-500-7295 | |
Jacqueline M Miller, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 |