Vanessa G Pence, | |
474 N Yellow Springs St, Springfield, OH 45504-2463 | |
(937) 399-9500 | |
Not Available |
Full Name | Vanessa G Pence |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 474 N Yellow Springs St, Springfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164743100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | E.1901062-SUPV (Ohio) | Primary |
Entity Name | Mental Health Services For Clark Co Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982695706 PECOS PAC ID: 7810801032 Enrollment ID: O20040108000709 |
Mailing Address | Practice Location Address |
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Vanessa G Pence, 474 N Yellow Springs St, Springfield, OH 45504-2463 Ph: () - | Vanessa G Pence, 474 N Yellow Springs St, Springfield, OH 45504-2463 Ph: (937) 399-9500 |
Larry Muhammad, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1238 Cobb Ave, Springfield, OH 45506 Phone: 937-215-0176 | |
Christie L Walton, CDC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 651 S Limestone St, Springfield, OH 45505 Phone: 937-324-1111 Fax: 373-287-2579 | |
Taja Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1421 Parker Ct, Springfield, OH 45504 Phone: 513-941-4999 | |
Mrs. Rachel Anne Legg, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E. Pleasant St., Springfield, OH 45506 Phone: 937-325-5564 Fax: 937-325-8727 | |
Tiombe Furr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 Lexington Ave, Springfield, OH 45505 Phone: 937-328-5300 Fax: 937-322-4900 | |
Catherine Weimer, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4867 Urbana Rd, Springfield, OH 45502 Phone: 937-931-5315 | |
Ms. Kayleen Stidham-klier, Counselor Medicare: Medicare Enrolled Practice Location: 474 N Yellow Springs St, Springfield, OH 45504 Phone: 937-399-9500 Fax: 937-399-9500 |