| Jane S Dougherty Lpc Llc | |
|
13 Main St Bradley Beach NJ 07720-1027 | |
| (732) 800-1557 | |
| Not Available |
| Full Name | Jane S Dougherty Lpc Llc |
|---|---|
| Speciality | Counselor |
| Location | 13 Main St, Bradley Beach, New Jersey |
| Authorized Official Name and Position | Jane Dougherty (OWNER/PROVIDER) |
| Authorized Official Contact | 7325464852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane S Dougherty Lpc Llc 13 Main St Bradley Beach NJ 07720-1027 Ph: () - | Jane S Dougherty Lpc Llc 13 Main St Bradley Beach NJ 07720-1027 Ph: (732) 800-1557 |
| NPI Number | 1780403576 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 4789119801 |
|---|---|
| Medicare Enrollment ID | O20241127000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780403576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jane Dougherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053859546 PECOS PAC ID: 6507391620 Enrollment ID: I20241127000067 |
Amy Ryan Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13 Main St # 1, Bradley Beach, NJ 07720 Phone: 732-795-0918 |