Ms Jody L Pendleton, LPC | |
2480 High St, Canon City, CO 81212-8746 | |
(719) 275-2591 | |
Not Available |
Full Name | Ms Jody L Pendleton |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2480 High St, Canon City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255387197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0002859 (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Ms Jody L Pendleton, LPC 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-4036 | Ms Jody L Pendleton, LPC 2480 High St, Canon City, CO 81212-8746 Ph: (719) 275-2591 |
Ms. Tina Lorraine Bezona, LPC Counselor Medicare: Medicare Enrolled Practice Location: 107 S 9th St, Canon City, CO 81212 Phone: 719-430-5929 | |
Mrs. Verena Johanna Burger Schmid, LPC, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Royal Gorge Blvd, Suite #228, Canon City, CO 81212 Phone: 719-248-8093 Fax: 888-242-6614 | |
Lori L. Meffley, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 N 7th St, Canon City, CO 81212 Phone: 719-269-3229 Fax: 719-269-8328 | |
Alan Donald, CAC II Counselor Medicare: Medicare Enrolled Practice Location: 602 Yale Pl, Canon City, CO 81212 Phone: 719-275-0700 | |
Jenifer Papaccio, Counselor Medicare: Medicare Enrolled Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 | |
Jenifer L Burbank, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 N 7th St, Canon City, CO 81212 Phone: 719-416-5407 | |
Tonya Woodson, BS CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 3239 Independence Rd, Canon City, CO 81212 Phone: 719-275-7650 |