Jordan Kennedy, LPC | |
1932 Braeburn Dr, Salem, VA 24153-7302 | |
(540) 529-8543 | |
(540) 378-6044 |
Full Name | Jordan Kennedy |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1932 Braeburn Dr, Salem, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225852957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701014039 (Virginia) | Primary |
Entity Name | Enjoy Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528731429 PECOS PAC ID: 3375985138 Enrollment ID: O20240524000213 |
Mailing Address | Practice Location Address |
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Jordan Kennedy, LPC 1932 Braeburn Dr, Salem, VA 24153-7302 Ph: (540) 529-8543 | Jordan Kennedy, LPC 1932 Braeburn Dr, Salem, VA 24153-7302 Ph: (540) 529-8543 |
Bethany Grace Lee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 E Main St Ste 500, Salem, VA 24153 Phone: 540-772-8043 Fax: 540-772-8242 | |
Annaka Welty, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 820 Apperson Dr, Salem, VA 24153 Phone: 540-389-2223 | |
Donna Celeste Clevenger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4549 Malus Dr, Salem, VA 24153 Phone: 540-562-3900 Fax: 540-387-6347 | |
Cheryl Thompson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5885 W River Rd, Salem, VA 24153 Phone: 540-378-3815 | |
Kristen Iler, LPC Counselor Medicare: Medicare Enrolled Practice Location: 508 E Main St Ste 500, Salem, VA 24153 Phone: 540-375-7307 | |
Shannon Roosma, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2212 Mulberry St, Salem, VA 24153 Phone: 434-665-1800 |