Cedar Solace Counseling, Llc | |
343 E Pleasant Grove Rd Jackson NJ 08527-4241 | |
(630) 306-9955 | |
Not Available |
Full Name | Cedar Solace Counseling, Llc |
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Speciality | Social Worker |
Location | 343 E Pleasant Grove Rd, Jackson, New Jersey |
Authorized Official Name and Position | Valarie Norman (CREDENTIALING) |
Authorized Official Contact | 3523635338 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cedar Solace Counseling, Llc 343 E Pleasant Grove Rd Jackson NJ 08527-4241 Ph: (630) 306-9955 | Cedar Solace Counseling, Llc 343 E Pleasant Grove Rd Jackson NJ 08527-4241 Ph: (630) 306-9955 |
NPI Number | 1528762994 |
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Provider Enumeration Date | 03/29/2023 |
Last Update Date | 04/24/2023 |
Certification Date | 04/24/2023 |
Medicare PECOS PAC ID | 2062873813 |
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Medicare Enrollment ID | O20230727000061 |
Identifier | Type | State | Issuer |
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1528762994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jaclyn A Pryor |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932657509 PECOS PAC ID: 4082002803 Enrollment ID: I20211028000900 |
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