| Marc Wax, LPC | |
|
81 Crooked Stick Rd, Jackson, NJ 08527-4032 | |
| (609) 916-6400 | |
| Not Available |
| Full Name | Marc Wax |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 81 Crooked Stick Rd, Jackson, 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 |
|---|---|---|---|
| 1376185728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37AC00486900 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC01090900 (New Jersey) | Primary |
| Entity Name | Grow Healthcare Group of New Jersey PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Wax, LPC 81 Crooked Stick Rd, Jackson, NJ 08527-4032 Ph: (609) 916-6400 | Marc Wax, LPC 81 Crooked Stick Rd, Jackson, NJ 08527-4032 Ph: (609) 916-6400 |
Diane Haddad, MA, MED, LPC, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 N County Line Rd, Jackson, NJ 08527 Phone: 908-373-1153 |
Mrs. Anna Mokrzecki, BCBA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Dartmouth Dr, Jackson, NJ 08527 Phone: 732-674-4599 |
Dr. Kimberley Giles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Hickory Hill Rd, Jackson, NJ 08527 Phone: 908-715-8037 |
Nicole Panza Kania, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1021 W Commodore Blvd, Jackson, NJ 08527 Phone: 732-780-2799 |
Tia Montagne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 Knightsbridge Pl, Jackson, NJ 08527 Phone: 908-216-1889 |
Angela Fahmy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 728 Bennetts Mills Rd, Jackson, NJ 08527 Phone: 732-491-8710 |
Caitlyn Stephanie Huettler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 346 Jackson Mills Rd, Jackson, NJ 08527 Phone: 732-688-7533 |