Kendra Renner, | |
4600 3rd St, Moline, IL 61265-6106 | |
(309) 779-2055 | |
Not Available |
Full Name | Kendra Renner |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4600 3rd St, Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427529072 | NPI | - | NPPES |
12345 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Trinity Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568414134 PECOS PAC ID: 2264337518 Enrollment ID: O20031203000016 |
Entity Name | The Robert Young Center For Community Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912158494 PECOS PAC ID: 4587600150 Enrollment ID: O20220303002245 |
Mailing Address | Practice Location Address |
---|---|
Kendra Renner, 4600 3rd St, Moline, IL 61265-6106 Ph: () - | Kendra Renner, 4600 3rd St, Moline, IL 61265-6106 Ph: (309) 779-2055 |
Charea Houston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 6th Ave, Moline, IL 61265 Phone: 309-749-8380 | |
Clinton Troy Merritt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 708-305-4041 | |
Jessica Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 River Dr Ste 110, Moline, IL 61265 Phone: 309-762-5433 | |
Rebecca Moreno, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3919 16th St, Moline, IL 61265 Phone: 309-797-6983 | |
Stephen Mark Draminski, L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-854-2090 | |
Hassan Baig, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2245 | |
Brooke E Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 3rd St, Moline, IL 61265 Phone: 309-779-2031 |