| Kenneth Adrian Deneault, LPC | |
|
17039 Oak St, Dillwyn, VA 23936-3019 | |
| (434) 808-0604 | |
| (434) 808-0716 |
| Full Name | Kenneth Adrian Deneault |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 17039 Oak St, Dillwyn, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235600784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701007852 (Virginia) | Primary |
| Entity Name | Virginia Center For Family Relations, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447341805 PECOS PAC ID: 3375647647 Enrollment ID: O20070326000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Adrian Deneault, LPC Po Box 1166, Dillwyn, VA 23936-1166 Ph: () - | Kenneth Adrian Deneault, LPC 17039 Oak St, Dillwyn, VA 23936-3019 Ph: (434) 808-0604 |
Matthew Rowe Browning, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1046 Main Street, Dillwyn, VA 23936 Phone: 434-983-1136 | |
Tawanna Patterson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16460 Oak Street, Dillwyn, VA 23936 Phone: 434-414-1128 | |
Jaime Marie Miller, Counselor Medicare: Medicare Enrolled Practice Location: 17039 Oak St, Dillwyn, VA 23936 Phone: 434-941-5476 | |
Annie Lee Ramsay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17039 Oak St, Dillwyn, VA 23936 Phone: 434-391-4364 |