Jeanna Pennington, LPC | |
300 N Clifton St, Fordyce, AR 71742-3055 | |
(870) 352-5122 | |
(870) 352-5127 |
Full Name | Jeanna Pennington |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 300 N Clifton St, Fordyce, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427440254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | A1603037 (Arkansas) | Secondary |
101YM0800X | Counselor - Mental Health | P1809130 (Arkansas) | Primary |
Entity Name | Reding & Leach Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245723584 PECOS PAC ID: 7012258627 Enrollment ID: O20190409001382 |
Mailing Address | Practice Location Address |
---|---|
Jeanna Pennington, LPC 3611 Farm To Market Rd, New Edinburg, AR 71660 Ph: (870) 313-1366 | Jeanna Pennington, LPC 300 N Clifton St, Fordyce, AR 71742-3055 Ph: (870) 352-5122 |
Judy Prince, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Brandy Tydingco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Lesley Self Ford, LPC Counselor Medicare: Medicare Enrolled Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6311 Fax: 870-352-0223 | |
Frankie Hickman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Tracy Ann Pefferkorn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Filmore St., Fordyce, AR 71742 Phone: 870-313-1579 Fax: 870-352-5127 | |
Mrs. Roselle Roberson, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W 3rd St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 |