Jennifer Hess Blake, LPC | |
1114 E Main St, Lebanon, VA 24266-5014 | |
(276) 701-0030 | |
Not Available |
Full Name | Jennifer Hess Blake |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1114 E Main St, Lebanon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801574074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
101YM0800X | Counselor - Mental Health | 0701012644 (Virginia) | Secondary |
Entity Name | Supportive Care Of Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801485354 PECOS PAC ID: 2961816731 Enrollment ID: O20210208000520 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Hess Blake, LPC 13422 Stone Dr, Bristol, VA 24202-4557 Ph: (276) 701-0030 | Jennifer Hess Blake, LPC 1114 E Main St, Lebanon, VA 24266-5014 Ph: (276) 701-0030 |
Cindy Joann Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2050 Pioneer Dr, Lebanon, VA 24266 Phone: 276-202-2816 | |
Kristie L Bubke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Kemp St, Lebanon, VA 24266 Phone: 276-889-3063 Fax: 276-889-5025 | |
Michael D Bush, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Rogers St, Lebanon, VA 24266 Phone: 276-889-3785 Fax: 276-889-2842 | |
Stacy Nichole Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 Rogers St, Lebanon, VA 24266 Phone: 276-889-3785 | |
Amy Clear, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Rogers St, Lebanon, VA 24266 Phone: 276-889-3785 Fax: 276-889-2842 | |
Kelly Elizabeth Smith, LCSW, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 216 Gilmer Street, Lebanon, VA 24266 Phone: 276-889-3063 | |
Mrs. Amanda Cherie Sexton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2050 Pioneer Dr, Lebanon, VA 24266 Phone: 276-880-0025 Fax: 276-880-0036 |