Nicole Tierney, | |
25 W Park Ave, Belford, NJ 07718-1046 | |
(732) 687-9796 | |
Not Available |
Full Name | Nicole Tierney |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 25 W Park Ave, Belford, 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 |
---|---|---|---|
1861101768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00361200 (New Jersey) | Secondary |
101YM0800X | Counselor - Mental Health | 37AC00562300 (New Jersey) | Primary |
Entity Name | Cpc Behavioral Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366497356 PECOS PAC ID: 3971593161 Enrollment ID: O20040518000822 |
Entity Name | Hope-fullness Counseling, Prevention, And Education |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063123180 PECOS PAC ID: 0042660896 Enrollment ID: O20231220001881 |
Mailing Address | Practice Location Address |
---|---|
Nicole Tierney, 25 W Park Ave, Belford, NJ 07718-1046 Ph: (732) 687-9796 | Nicole Tierney, 25 W Park Ave, Belford, NJ 07718-1046 Ph: (732) 687-9796 |
Susan Wildermann, MA, PD(MFT), LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 Clinton Ave, Belford, NJ 07718 Phone: 732-895-7009 Fax: 732-787-3268 | |
Nicholas A Ciaccia, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Leonardville Rd, Belford, NJ 07718 Phone: 732-233-4465 | |
Jessica Kremp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Leonardville Rd, Belford, NJ 07718 Phone: 732-787-3590 | |
Bonnie Davis-struble, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Main St, Belford, NJ 07718 Phone: 732-859-9159 |