| Leeann Wagner Llc | |
|
18 Kings Hwy Ste 202 Middletown NJ 07748-2509 | |
| (201) 522-5108 | |
| Not Available |
| Full Name | Leeann Wagner Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 18 Kings Hwy Ste 202, Middletown, New Jersey |
| Authorized Official Name and Position | Leeann Wagner (PRIVATE PRACTIONER) |
| Authorized Official Contact | 2015225108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leeann Wagner Llc 81 Leonard Ave Leonardo NJ 07737-1742 Ph: (201) 522-5108 | Leeann Wagner Llc 18 Kings Hwy Ste 202 Middletown NJ 07748-2509 Ph: (201) 522-5108 |
| NPI Number | 1265970933 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 03/12/2020 |
| Certification Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265970933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00483700 (New Jersey) | Primary |
Ymca Of Greater Monmouth County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Middletown Lincroft Rd, Middletown, NJ 07748 Phone: 732-290-9040 Fax: 732-566-0433 | |
Eastern Sound Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Kings Hwy, Middletown, NJ 07748 Phone: 732-804-1032 | |
Chece Psychological, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 18 Kings Hwy # 104, Middletown, NJ 07748 Phone: 732-829-4654 Fax: 732-671-8704 | |
Ymca Of Greater Monmouth County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Kings Hwy, Middletown, NJ 07748 Phone: 732-290-9040 Fax: 732-566-0433 | |
Annette Provencher Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 24 Chapman Ter, Middletown, NJ 07748 Phone: 732-876-3094 | |
Ymca Of Greater Monmouth County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Murphy Rd, Middletown, NJ 07748 Phone: 732-290-9040 Fax: 732-566-0433 |