Mrs Angelica Maria Bennett, LPC, LCPC | |
463 S Lake Powell Blvd, Page, AZ 86040-0856 | |
(480) 528-2310 | |
Not Available |
Full Name | Mrs Angelica Maria Bennett |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 463 S Lake Powell Blvd, Page, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578234340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
Entity Name | Community Bridges Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558095315 PECOS PAC ID: 2062699721 Enrollment ID: O20110606000388 |
Mailing Address | Practice Location Address |
---|---|
Mrs Angelica Maria Bennett, LPC, LCPC 309 Ponderosa Ln, Kalispell, MT 59901-6835 Ph: (602) 717-2831 | Mrs Angelica Maria Bennett, LPC, LCPC 463 S Lake Powell Blvd, Page, AZ 86040-0856 Ph: (480) 528-2310 |
Matthew Aaron Lasslo, Counselor Medicare: Medicare Enrolled Practice Location: 463 S Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-5113 Fax: 928-645-3254 | |
Jared Lynn Kummer, Counselor Medicare: Medicare Enrolled Practice Location: 463 S. Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-5113 | |
Mr. Norman Ray Stevens, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 337 N. Navajo Drive, Page, AZ 86040 Phone: 928-645-6840 Fax: 928-645-8158 | |
Peggy Fuhrman, MASTERS EDUCATION Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 S. Navajo, Page, AZ 86040 Phone: 928-608-4200 Fax: 928-645-5059 | |
Mr. John Valvo, BA, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 463 S. Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-5113 Fax: 928-645-3254 | |
Irene B Jones, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 434 S Lake Powell Blvd, Page, AZ 86040 Phone: 928-608-4170 Fax: 928-645-9243 | |
Mrs. Beverly Jean Horton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 463 S. Lake Powell Blvd, Page, AZ 86040 Phone: 928-645-5113 |