Gina M Peccia, Ma, Lpc Llc | |
2021 New Rd Ste 12b Linwood NJ 08221-1045 | |
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Not Available |
Full Name | Gina M Peccia, Ma, Lpc Llc |
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Speciality | Counselor |
Location | 2021 New Rd Ste 12b, Linwood, New Jersey |
Authorized Official Name and Position | Gina Marie Peccia (OWNER) |
Authorized Official Contact | 6092049940 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gina M Peccia, Ma, Lpc Llc 2021 New Rd Ste 12b Linwood NJ 08221-1045 Ph: (609) 204-9940 | Gina M Peccia, Ma, Lpc Llc 2021 New Rd Ste 12b Linwood NJ 08221-1045 Ph: () - |
NPI Number | 1316205560 |
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Provider Enumeration Date | 04/25/2012 |
Last Update Date | 01/16/2024 |
Certification Date | 01/16/2024 |
Medicare PECOS PAC ID | 7416394325 |
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Medicare Enrollment ID | O20240327000041 |
Identifier | Type | State | Issuer |
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1316205560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 37PC00361000 (New Jersey) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Provider Name | Gina M Peccia |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417154899 PECOS PAC ID: 8325485238 Enrollment ID: I20240327000079 |
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