| Adonica Hennessy, | |
|
1061 Court Ave, Marengo, IA 52301-1439 | |
| (319) 361-6529 | |
| Not Available |
| Full Name | Adonica Hennessy |
|---|---|
| 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 |
|---|---|
| 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 |