Alicia Marie Jennings, | |
1201 Red Bud Ln, Canton, GA 30114-1211 | |
(470) 533-9701 | |
Not Available |
Full Name | Alicia Marie Jennings |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1201 Red Bud Ln, Canton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376227074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC013989 (Georgia) | Primary |
Entity Name | Highland Rivers Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204 |
Mailing Address | Practice Location Address |
---|---|
Alicia Marie Jennings, 1201 Red Bud Ln, Canton, GA 30114-1211 Ph: (470) 533-9701 | Alicia Marie Jennings, 1201 Red Bud Ln, Canton, GA 30114-1211 Ph: (470) 533-9701 |
Joy Tulloch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way Ste 106, Canton, GA 30115 Phone: 678-880-4645 | |
Ms. M Katherine Coolidge, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1213 Cherry Ln, Canton, GA 30114 Phone: 678-494-6690 Fax: 678-494-9622 | |
Mr. Frank J. Busbey, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Lamar Haley Pkwy, Canton, GA 30114 Phone: 770-704-1600 | |
Mrs. Lauren Moss, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way Ste 108, Canton, GA 30115 Phone: 678-880-4645 | |
Miss Leah Epelbaum, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6175 Hickory Flat Hwy Ste 110-111, Canton, GA 30115 Phone: 770-286-1237 | |
Mary Robin Grove, CRC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way, 106, Canton, GA 30115 Phone: 678-880-4645 | |
Jennifer Gilreath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Sixes Rd, Canton, GA 30114 Phone: 678-880-8385 |