| A Therapist In New Jersey Llc | |
|
5a Opal Ct Barnegat NJ 08005-2561 | |
| (732) 693-5921 | |
| Not Available |
| Full Name | A Therapist In New Jersey Llc |
|---|---|
| Speciality | Counselor |
| Location | 5a Opal Ct, Barnegat, New Jersey |
| Authorized Official Name and Position | Jessica Gahm (OWNER) |
| Authorized Official Contact | 7326935921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Therapist In New Jersey Llc 5a Opal Ct Barnegat NJ 08005-2561 Ph: (732) 693-5921 | A Therapist In New Jersey Llc 5a Opal Ct Barnegat NJ 08005-2561 Ph: (732) 693-5921 |
| NPI Number | 1255161824 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 8325589872 |
|---|---|
| Medicare Enrollment ID | O20240924002275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255161824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jessica Gahm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548928336 PECOS PAC ID: 3072961564 Enrollment ID: I20240123000904 |
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