| Mrs Jenica Ellen Rea, LPC | |
|
508 Crackwillow Ave, Fairhope, AL 36532-0028 | |
| (251) 979-2242 | |
| Not Available |
| Full Name | Mrs Jenica Ellen Rea |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 508 Crackwillow Ave, Fairhope, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871951095 | NPI | - | NPPES |
| 13876117 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4242 (Alabama) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jenica Ellen Rea, LPC 508 Crackwillow Ave, Fairhope, AL 36532-0028 Ph: (251) 979-2242 | Mrs Jenica Ellen Rea, LPC 508 Crackwillow Ave, Fairhope, AL 36532-0028 Ph: (251) 979-2242 |
Charlene Rae Wigington, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 372 South Greeno Rd., Fairhope, AL 36532 Phone: 251-928-2871 | |
William Bruce Hill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Song Grove Blvd, Fairhope, AL 36532 Phone: 205-616-0552 | |
Ms. Kelly Anne Chism, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 372 South Greeno Road, Fairhope, AL 36532 Phone: 251-928-2871 | |
John King, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 362 S Section St, Fairhope, AL 36532 Phone: 262-527-0352 | |
Fani Chifchieva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 372 Greeno Rd S, Fairhope, AL 36532 Phone: 251-990-4248 | |
Lauren Holler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12074 Alabama Hwy 104, Fairhope, AL 36532 Phone: 251-317-5656 | |
Kate G Rawson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 372 Greeno Rd S, Fairhope, AL 36532 Phone: 251-990-4210 Fax: 251-928-0126 |