| Arlene K Licata, MA | |
|
146 Lakeview Dr S, Suite 300, Gibbsboro, NJ 08026-1018 | |
| (856) 261-4011 | |
| (856) 784-1102 |
| Full Name | Arlene K Licata |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 33 Years |
| Location | 146 Lakeview Dr S, Gibbsboro, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285820423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00307100 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ccc Counseling Inc | 3870999493 | 9 |
| Entity Name | Ccc Counseling Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366848582 PECOS PAC ID: 3870999493 Enrollment ID: O20210908000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Arlene K Licata, MA 146 Lakeview Dr S, Suite 300, Gibbsboro, NJ 08026-1018 Ph: (856) 261-4011 | Arlene K Licata, MA 146 Lakeview Dr S, Suite 300, Gibbsboro, NJ 08026-1018 Ph: (856) 261-4011 |
Ms. Tricia Ann Giordano, MA, LPC, LCADC, CTTS Counselor Medicare: Not Enrolled in Medicare Practice Location: 146 Lakeview Dr S, Suite 400, Gibbsboro, NJ 08026 Phone: 908-881-6355 | |
Ms. Evelyn Jean Jeffrey, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 146 S Lakeview Dr Ste 202, Gibbsboro, NJ 08026 Phone: 609-669-0097 Fax: 856-875-9608 | |
Mrs. Lisa Ann Shorter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 146 S Lakeview Dr, Gibbsboro, NJ 08026 Phone: 856-433-8615 | |
Mrs. Tiffany L Smith, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Foster Ave Ste 1a, Gibbsboro, NJ 08026 Phone: 856-782-6749 |