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NPI Code Detail

MEDICARE: INTEGRATIVE TRAINING & CONSULTING, LLC

MEDICARE: INTEGRATIVE TRAINING & CONSULTING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor37PC00242600NJ
2101YP2500XProfessional Counselor37PC00320500NJ
3103T00000XPsychologist35SI00379400NJ
41041C0700XClinical Social Worker44SC04830400NJ
5103TC0700XClinical Psychologist35S100489500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12101101000OTHERNJINDEPENDENCE BC
22101101000OTHERPAINDEPENDENCE BLUE CROSS

General Provider Information

NPI Number : 1285783357
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRATIVE TRAINING & CONSULTING, LLC
Provider Business Mailing Address
First Line : 108 FAIRWAY TER
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-2321
Country : US
Telephone Number : 609-304-4624
Fax Number :
Provider Business Practice Location Address
First Line : 108 FAIRWAY TER
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-2321
Country : US
Telephone Number : 609-304-4624
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. JARED MICHAEL SCHERZ
Credential : PH.D.
Telephone Number : 609-304-4624
Provider Enumeration Date : 01/09/2007
Last Update Date : 06/17/2024

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1386735082 — DR. DONNA SUE SCHERZ PSY.D.
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1003904798 — MONICA DORRIE KRULEWITZ M.S.W., L.C.S.W.
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MOUNT LAUREL, NJ
08054-2321
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1285023408 — SARAH KAUTZ LCSW
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1972960599 — MOLLY APPEL LCSW
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