| Jeremy Lees Psychotherapy | |
|
200 White Rd Ste 208 Little Silver NJ 07739-1162 | |
| (732) 242-4155 | |
| Not Available |
| Full Name | Jeremy Lees Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 200 White Rd Ste 208, Little Silver, New Jersey |
| Authorized Official Name and Position | Jeremy Lees (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7322424155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Lees Psychotherapy 200 White Rd Ste 208 Little Silver NJ 07739-1162 Ph: (732) 242-4155 | Jeremy Lees Psychotherapy 200 White Rd Ste 208 Little Silver NJ 07739-1162 Ph: (732) 242-4155 |
| NPI Number | 1346972338 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/28/2022 |
| Certification Date | 06/28/2022 |
| Medicare PECOS PAC ID | 2961883418 |
|---|---|
| Medicare Enrollment ID | O20220715000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346972338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeremy Lees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225526411 PECOS PAC ID: 6507279700 Enrollment ID: I20210107001655 |
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