Lawrence Pennington, LPC | |
313 W High St, 209, Ebensburg, PA 15931-1549 | |
(814) 419-8046 | |
(814) 419-8274 |
Full Name | Lawrence Pennington |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 313 W High St, Ebensburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437518115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC001455 (Pennsylvania) | Primary |
Entity Name | Cen Clear Child Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841289733 PECOS PAC ID: 9436258860 Enrollment ID: O20070625000752 |
Mailing Address | Practice Location Address |
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Lawrence Pennington, LPC 313 W High St, 209, Ebensburg, PA 15931-1549 Ph: (814) 419-8046 | Lawrence Pennington, LPC 313 W High St, 209, Ebensburg, PA 15931-1549 Ph: (814) 419-8046 |
Jessica Jo Taylor Gallo, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W High St, Ebensburg, PA 15931 Phone: 814-472-9330 | |
Lindsey Eckenrode, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3720 New Germany Rd, Ebensburg, PA 15931 Phone: 814-472-9390 | |
Janna M Burkett, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W High St, Ebensburg, PA 15931 Phone: 814-472-9330 | |
Mrs. Alicia Ellen Bunk, M.A.,LPC,NCC Counselor Medicare: Medicare Enrolled Practice Location: 1153 W High St Ste 2, Ebensburg, PA 15931 Phone: 814-341-8905 | |
Patricia Staller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W High St, Ebensburg, PA 15931 Phone: 814-472-9330 | |
Kristine Marie Martin, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W High St, Ebensburg, PA 15931 Phone: 814-472-9330 | |
Amanda Walls, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W High St, Ebensburg, PA 15931 Phone: 814-472-9330 |