| Kathleen Anne Lee, LPC, LCADC | |
|
411 Kaila Ct, Shamong, NJ 08088-9688 | |
| (609) 401-2012 | |
| (609) 232-7271 |
| Full Name | Kathleen Anne Lee |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 411 Kaila Ct, Shamong, 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 |
|---|---|---|---|
| 1134559255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00207100 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00440600 (New Jersey) | Primary |
| Entity Name | Tranquil Pines Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114683596 PECOS PAC ID: 9032555883 Enrollment ID: O20240314003183 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Anne Lee, LPC, LCADC 411 Kaila Ct, Shamong, NJ 08088-9688 Ph: (609) 401-2012 | Kathleen Anne Lee, LPC, LCADC 411 Kaila Ct, Shamong, NJ 08088-9688 Ph: (609) 401-2012 |
Mr. Samuel Lee Hayes Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 Old Indian Mills Rd, Shamong, NJ 08088 Phone: 609-832-8865 | |
Mary Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 Millstone Dr, Shamong, NJ 08088 Phone: 609-760-0293 | |
Mrs. Hollie Sue Okeefe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Grassy Lake Rd, Shamong, NJ 08088 Phone: 609-801-2939 | |
Julie Wells, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 Skylar Ct, Shamong, NJ 08088 Phone: 856-279-0020 | |
Skyler Stillwaggon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 Old Indian Mills Rd, Shamong, NJ 08088 Phone: 609-845-3715 | |
Ms. Angela Renee Armendariz, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 212 Skylar Ct, Shamong, NJ 08088 Phone: 408-823-5866 |