Individual ProviderDiane Maddox-JenkinsCounselorBehavioral Health & Social Service ProvidersPractice Address423 Mcfarlan Rd, Suite 200, Kennett Square, PA 19348-2487(302) 377-6336PECOS EnrollmentBased on the most recent information from CMS, provider Diane Maddox-Jenkins does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:48 AM.Profile DetailsProvider ID1902141047Provider TypeIndividualFull NameMaddox-Jenkins, DianeCredentialLPCGenderFemaleSole ProprietorYesEnumeration Date11/30/2012Last Updated6/18/2013Contact InformationPractice LocationPractice Address423 Mcfarlan Rd, Suite 200, Kennett Square, PA 19348-2487Phone(302) 377-6336Fax(855) 777-7087Mailing LocationMailing Address423 Mcfarlan Rd, Suite 200, Kennett Square, PA 19348-2487Phone(302) 377-6336Fax(855) 777-7087Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicensePC006655Pennsylvania