| Wanda J Dungan, LPC | |
|
414 Main St, Warsaw, VA 22572-4291 | |
| (804) 333-3671 | |
| (804) 333-3657 |
| Full Name | Wanda J Dungan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 414 Main St, Warsaw, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558323402 | NPI | - | NPPES |
| 331729 | Other | VA | TRICARE |
| 2055241 | Other | VA | CIGNA |
| O81143 | Other | VA | SOUTHERN HEALTH |
| 264159 | Other | VA | VALUE OPTIONS |
| 326873 | Other | VA | ANTHEM |
| 326873 | Other | VA | HEALTHKEEPERS |
| 326873 | Medicaid | VA | |
| O81143 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0710001142 (Virginia) | Primary |
| Entity Name | Middle Peninsula Northern Neck Mental Health & Retardation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497717615 PECOS PAC ID: 1254235989 Enrollment ID: O20031124000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda J Dungan, LPC 9228 George Washington Memorial Hwy, Gloucester, VA 23061-4162 Ph: (804) 693-5068 | Wanda J Dungan, LPC 414 Main St, Warsaw, VA 22572-4291 Ph: (804) 333-3671 |
Beate Rose, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 Main St, Warsaw, VA 22572 Phone: 804-333-6939 Fax: 804-695-8122 | |
Shannon L Hodges, LPC Counselor Medicare: Medicare Enrolled Practice Location: 414 Main Street, Warsaw, VA 22572 Phone: 804-333-3671 Fax: 804-333-3657 |