| Mrs Gina M Barra, MA, LPC | |
|
1255 Broad St, Suite 204, Bloomfield, NJ 07003-3000 | |
| (973) 771-9000 | |
| Not Available |
| Full Name | Mrs Gina M Barra |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1255 Broad St, Bloomfield, 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 |
|---|---|---|---|
| 1134367915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00300700 (New Jersey) | Primary |
| Entity Name | Lakeside Counseling Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578010674 PECOS PAC ID: 0840568754 Enrollment ID: O20170619001045 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gina M Barra, MA, LPC 1255 Broad St, Suite 204, Bloomfield, NJ 07003-3000 Ph: (973) 771-9000 | Mrs Gina M Barra, MA, LPC 1255 Broad St, Suite 204, Bloomfield, NJ 07003-3000 Ph: (973) 771-9000 |
Marieser Delgado, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 554 Bloomfield Ave Ste 401, Bloomfield, NJ 07003 Phone: 973-771-3300 | |
Mr. Jose Perez, MA, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Broad St, Suite 204, Bloomfield, NJ 07003 Phone: 973-771-9000 | |
Magdalena Kulesza-gray, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Davey St, Bloomfield, NJ 07003 Phone: 201-850-0297 | |
Nada Seet, M.A., M.F.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Conger St Apt 1107b, Bloomfield, NJ 07003 Phone: 347-647-4042 | |
Dr. Adisa Alghali, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1018 Broad St Ste 6, Bloomfield, NJ 07003 Phone: 862-930-5700 | |
Mr. Isiah Lacefield, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Broughton Ave, Bloomfield, NJ 07003 Phone: 201-590-4242 | |
Dr. Ralph Daniel Dell'aquila, ED.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Belleville Ave, Bloomfield, NJ 07003 Phone: 973-632-0269 |