| The Juron Group Llc | |
|
923 First Colonial Rd Suite 1821 Virginia Beach VA 23454-3182 | |
| (757) 266-0768 | |
| Not Available |
| Full Name | The Juron Group Llc |
|---|---|
| Speciality | Social Worker |
| Location | 923 First Colonial Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Marlene M. Juron (CEO/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 7572660768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Juron Group Llc 923 First Colonial Rd Suite 1821 Virginia Beach VA 23454-3182 Ph: (757) 266-0768 | The Juron Group Llc 923 First Colonial Rd Suite 1821 Virginia Beach VA 23454-3182 Ph: (757) 266-0768 |
| NPI Number | 1093113326 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 12/18/2014 |
| Medicare PECOS PAC ID | 7214253285 |
|---|---|
| Medicare Enrollment ID | O20150310001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093113326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004044 (Virginia) | Primary |
| Provider Name | Deborah B Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891749644 PECOS PAC ID: 6305879511 Enrollment ID: I20050916000651 |
| Provider Name | Sean Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356321061 PECOS PAC ID: 5496883464 Enrollment ID: I20100512000643 |
| Provider Name | Marlene Miller Juron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548299100 PECOS PAC ID: 7719202035 Enrollment ID: I20150209001484 |
| Provider Name | Edith C Beaujon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689942161 PECOS PAC ID: 9537485826 Enrollment ID: I20150311002431 |
| Provider Name | Sirajul Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144561499 PECOS PAC ID: 5597053504 Enrollment ID: I20170316001838 |
| Provider Name | Ryan G Mcqueen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942591086 PECOS PAC ID: 2163723172 Enrollment ID: I20171211000970 |
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