Mrs Lydia Goodwin Pennock, LCMHC | |
328 Urie Rd, Craftsbury Common, VT 05827-9756 | |
(802) 755-6780 | |
Not Available |
Full Name | Mrs Lydia Goodwin Pennock |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 328 Urie Rd, Craftsbury Common, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326559527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068.0051665 (Vermont) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Lydia Goodwin Pennock, LCMHC 328 Urie Rd, Craftsbury Common, VT 05827-9756 Ph: (802) 755-6780 | Mrs Lydia Goodwin Pennock, LCMHC 328 Urie Rd, Craftsbury Common, VT 05827-9756 Ph: (802) 755-6780 |
Mr. Pablo Coddou, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1177 N Craftsbury Rd, Craftsbury Common, VT 05827 Phone: 303-413-8500 | |
Nancy Milholland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1281 King Farm Rd, Craftsbury Common, VT 05827 Phone: 941-650-7807 |