Raiyona Roane, LAC | |
65 Harristown Rd Ste 310, Glen Rock, NJ 07452-3356 | |
(732) 982-2888 | |
Not Available |
Full Name | Raiyona Roane |
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Gender | Female |
Speciality | Counselor |
Location | 65 Harristown Rd Ste 310, Glen Rock, 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 |
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1831783364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | 37AC00527500 (New Jersey) | Primary |
Entity Name | Counseling Center At Clark Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245637578 PECOS PAC ID: 3971990144 Enrollment ID: O20220419000848 |
Mailing Address | Practice Location Address |
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Raiyona Roane, LAC 175 E Hawthorn Pkwy, Vernon Hills, IL 60061-1463 Ph: () - | Raiyona Roane, LAC 65 Harristown Rd Ste 310, Glen Rock, NJ 07452-3356 Ph: (732) 982-2888 |
Csilla Greiner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 522 S Broad St Ste 7, Glen Rock, NJ 07452 Phone: 551-238-2888 | |
Mr. Daniel Callahan, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 266 Harristown Rd Ste 209, Glen Rock, NJ 07452 Phone: 201-564-7331 | |
Cyre Virgo, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 266 Harristown Rd Ste 209, Glen Rock, NJ 07452 Phone: 201-564-7331 | |
Ms. Jacqueline Gill Pucci, LPC Counselor Medicare: Medicare Enrolled Practice Location: 49 Plymouth Rd, Glen Rock, NJ 07452 Phone: 973-525-9356 | |
Nicole Ann Aquino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 266 Harristown Rd Ste 209, Glen Rock, NJ 07452 Phone: 201-564-7331 | |
Rebecca Rowtie, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Harristown Rd Ste 310, Glen Rock, NJ 07452 Phone: 732-982-2888 Fax: 847-859-5885 | |
Rebekah Thompson, LAC Counselor Medicare: Medicare Enrolled Practice Location: 65 Harristown Rd Ste 310, Glen Rock, NJ 07452 Phone: 732-982-2888 Fax: 847-859-5885 |