Adonica Hennessy, | |
1061 Court Ave, Marengo, IA 52301-1439 | |
(319) 361-6529 | |
Not Available |
Full Name | Adonica Hennessy |
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Gender | Female |
Speciality | Counselor |
Location | 1061 Court Ave, Marengo, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699219857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 081352 (Iowa) | Primary |
Entity Name | Sac & Fox Of The Miss In Iowa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962618355 PECOS PAC ID: 6507806239 Enrollment ID: O20050511000970 |
Mailing Address | Practice Location Address |
---|---|
Adonica Hennessy, 2501 S Center St, Marshalltown, IA 50158-4562 Ph: (319) 361-6529 | Adonica Hennessy, 1061 Court Ave, Marengo, IA 52301-1439 Ph: (319) 361-6529 |
Karla Renee Robison, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1024 Court Ave, Marengo, IA 52301 Phone: 319-800-8522 | |
Katie Collingwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 398 W South St, Marengo, IA 52301 Phone: 319-560-2996 | |
Karen L Maas, MA LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1069 Court Ave, Marengo, IA 52301 Phone: 319-741-6224 Fax: 319-741-6190 |