| Ms Jessica Pescatore, LAC | |
|
305 Independence Blvd, Sicklerville, NJ 08081-1093 | |
| (609) 365-0712 | |
| (609) 904-2265 |
| Full Name | Ms Jessica Pescatore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 305 Independence Blvd, Sicklerville, 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 |
|---|---|---|---|
| 1760146203 | NPI | - | NPPES |
| 0506290 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37AC00513100 (New Jersey) | Primary |
| Entity Name | Beautiful Minds Therapy And Consultation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255839528 PECOS PAC ID: 5890039168 Enrollment ID: O20181128001403 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jessica Pescatore, LAC 305 Independence Blvd, Sicklerville, NJ 08081-1093 Ph: (609) 365-0712 | Ms Jessica Pescatore, LAC 305 Independence Blvd, Sicklerville, NJ 08081-1093 Ph: (609) 365-0712 |
Jacqueline Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
April Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Kia Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Conifer Way, Sicklerville, NJ 08081 Phone: 856-493-8172 | |
Giovon Washington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Kenneth Selby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Tyeka Morris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Mr. Evens Luther Collot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 531 Williamstown Rd, Sicklerville, NJ 08081 Phone: 856-418-6721 Fax: 856-818-9740 |