| Leroy Stanford Jr, | |
|
2600 Mount Ephraim Ave, Suite 405, Camden, NJ 08104-3236 | |
| (856) 963-7323 | |
| (856) 963-7324 |
| Full Name | Leroy Stanford Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2600 Mount Ephraim Ave, Camden, 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 |
|---|---|---|---|
| 1013395052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00215600 (New Jersey) | Primary |
| Entity Name | Women Of Hope Resource Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740456656 PECOS PAC ID: 1951637230 Enrollment ID: O20190724001770 |
| Mailing Address | Practice Location Address |
|---|---|
| Leroy Stanford Jr, 2600 Mount Ephraim Ave, Suite 405, Camden, NJ 08104-3236 Ph: (856) 963-7323 | Leroy Stanford Jr, 2600 Mount Ephraim Ave, Suite 405, Camden, NJ 08104-3236 Ph: (856) 963-7323 |
Rattakan Kruakaew, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Market St, Camden, NJ 08102 Phone: 568-361-2700 Fax: 856-541-4139 | |
Mr. Norman Soloman Marcelle Jr., M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Market St, Camden, NJ 08102 Phone: 856-541-1700 Fax: 856-541-1554 | |
Jean Blaise Ngnie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 Patton St, Camden, NJ 08104 Phone: 267-269-5462 | |
Mr. Karl Muehter, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 Cooper St, Camden, NJ 08102 Phone: 856-541-1700 | |
Mr. Karl Leon Snyder, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2439 | |
Jessica Colon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Market St, Camden, NJ 08102 Phone: 856-602-4641 Fax: 856-541-4139 |