Tash Duplain, LAC | |
271 Route 46 W Ste G201, Fairfield, NJ 07004-2475 | |
(973) 934-0230 | |
Not Available |
Full Name | Tash Duplain |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 271 Route 46 W Ste G201, Fairfield, 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 |
---|---|---|---|
1831834951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37AC00626000 (New Jersey) | Primary |
Entity Name | Theracorp, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063947828 PECOS PAC ID: 8426319104 Enrollment ID: O20180220001235 |
Mailing Address | Practice Location Address |
---|---|
Tash Duplain, LAC 10b Shady Ln, Little Falls, NJ 07424-1407 Ph: (973) 934-0230 | Tash Duplain, LAC 271 Route 46 W Ste G201, Fairfield, NJ 07004-2475 Ph: (973) 934-0230 |
Lindsey Vanschaik, Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Big Piece Rd, Fairfield, NJ 07004 Phone: 973-747-7270 | |
Ms. Claudia M. Mercedes, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Madison Rd Ste B, Fairfield, NJ 07004 Phone: 833-939-3765 | |
Jeffrey N Obiekwe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Clinton Rd # 11, Fairfield, NJ 07004 Phone: 609-531-1748 | |
Mr. Eugene M Merren, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Glen Ave, Fairfield, NJ 07004 Phone: 973-256-2080 | |
Beth A. Bronfman, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 87 Fairfield Rd, Fairfield, NJ 07004 Phone: 772-361-6255 | |
Dr. Alexander Philip Franchino, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Glen Ave, Fairfield, NJ 07004 Phone: 973-256-2080 Fax: 973-256-2080 | |
Mrs. Karen Wood Liberato, LCSW, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 271 Route 46 W, Suite G-101, Fairfield, NJ 07004 Phone: 973-276-9040 Fax: 973-276-9062 |