| Lauren Diane Jacquemin, | |
|
103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772 | |
| (856) 223-2222 | |
| Not Available |
| Full Name | Lauren Diane Jacquemin |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 103 Old Marlton Pike Ste 101, Medford, 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 |
|---|---|---|---|
| 1295413755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00758800 (New Jersey) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00253300 (New Jersey) | Primary |
| Entity Name | Peaceful Practices Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457978017 PECOS PAC ID: 5698114650 Enrollment ID: O20240424000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Diane Jacquemin, 33 Greenbrook Dr, Columbus, NJ 08022-2319 Ph: () - | Lauren Diane Jacquemin, 103 Old Marlton Pike Ste 101, Medford, NJ 08055-8772 Ph: (856) 223-2222 |
Erica Lynn Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Union St, Medford, NJ 08055 Phone: 609-654-9860 | |
Ms. Karen Ann Brook, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 121 W Centennial Dr, Medford, NJ 08055 Phone: 856-596-6444 Fax: 856-797-8512 | |
Miss Christine Elizabeth Hniedziejko, Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Union Street, Medford Meadows Group Home, Medford, NJ 08055 Phone: 609-654-9860 | |
Ms. Amanda Whitney Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Route 70, Ste 12, Medford, NJ 08055 Phone: 609-953-6800 | |
Kristen Kohler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 S Main St, Medford, NJ 08055 Phone: 856-617-4544 | |
Julia Mannino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 N Main St, Medford, NJ 08055 Phone: 856-714-8400 | |
Molly Knox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Stokes Rd Ste B8, Medford, NJ 08055 Phone: 609-365-7834 |