Candice Lynn Murrell-cannon, LCPC, LMHC, NCC | |
400 N 17th St, Keokuk, IA 52632-3452 | |
(319) 524-5734 | |
(319) 524-5758 |
Full Name | Candice Lynn Murrell-cannon |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 400 N 17th St, Keokuk, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528607959 | NPI | - | NPPES |
180012674 | Other | IL | IILINOIS DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 074278 (Iowa) | Secondary |
101YP2500X | Counselor - Professional | 180012674 (Illinois) | Primary |
Entity Name | Community Health Centers Of Southeastern Iowa Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255339750 PECOS PAC ID: 4486562527 Enrollment ID: O20040219000446 |
Mailing Address | Practice Location Address |
---|---|
Candice Lynn Murrell-cannon, LCPC, LMHC, NCC 1706 W Agency Rd, West Burlington, IA 52655-1667 Ph: (319) 753-2300 | Candice Lynn Murrell-cannon, LCPC, LMHC, NCC 400 N 17th St, Keokuk, IA 52632-3452 Ph: (319) 524-5734 |
Mrs. Jennifer R Dougherty, M.A., L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1522 Morgan St, Keokuk, IA 52632 Phone: 319-524-0510 Fax: 319-524-0609 | |
Jamie Joslin, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1522 Morgan St, Keokuk, IA 52632 Phone: 319-214-0286 | |
Ms. Kristine M Casey, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1522 Morgan St, Keokuk, IA 52632 Phone: 319-524-0510 Fax: 319-524-0609 | |
Kristin Kay Suminski, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Morgan St Ste 4, Keokuk, IA 52632 Phone: 319-249-5777 | |
Mr. Mic Hael J. Maher, MS, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1522 Morgan St, Keokuk, IA 52632 Phone: 319-524-0510 Fax: 319-524-0609 | |
Mrs. Amy Christine Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Morgan St Ste 4, Keokuk, IA 52632 Phone: 319-249-5777 | |
Keith Keller, L.M.S.W Counselor Medicare: Not Enrolled in Medicare Practice Location: 928 Main St, Keokuk, IA 52632 Phone: 319-524-4397 |