| Noelle Brock, MA, LPC | |
|
971 Us Highway 202 N Ste 8071, Branchburg, NJ 08876-3757 | |
| (973) 506-9118 | |
| Not Available |
| Full Name | Noelle Brock |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 971 Us Highway 202 N Ste 8071, Branchburg, 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 |
|---|---|---|---|
| 1346834751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 37PC00929500 (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 |
|---|---|
| Noelle Brock, MA, LPC 971 Us Highway 202 N Ste 8071, Branchburg, NJ 08876-3757 Ph: (973) 506-9118 | Noelle Brock, MA, LPC 971 Us Highway 202 N Ste 8071, Branchburg, NJ 08876-3757 Ph: (973) 506-9118 |
Marlaina Ivy Crampton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 953 Us Highway 202 N, Branchburg, NJ 08876 Phone: 908-356-5955 | |
Lauren Holzschuh Krueger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 Olive St, Branchburg, NJ 08853 Phone: 908-872-0405 | |
Brian Boyle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3322 Route 22, Branchburg, NJ 08876 Phone: 848-334-0502 | |
Mrs. Victoria Ashley Nagel, LPC,LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Us Highway 202 N Ste R, Branchburg, NJ 08876 Phone: 201-800-4236 | |
Rene Bavosa, Counselor Medicare: Medicare Enrolled Practice Location: 971 Route 202 N Ste 3, Branchburg, NJ 08876 Phone: 908-800-9590 | |
Dawn Cautillo Ryalls, Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Route 202 N Ste 4, Branchburg, NJ 08876 Phone: 908-595-9466 | |
Judy Anita Farrah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 953 Us Highway 202 N, Branchburg, NJ 08876 Phone: 908-442-8069 |