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Individual
ANDREW R PENN
Active
Individual
ANDREW R PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068.0136273TELE
VT
101YM0800X
Mental Health Counselor
Primary
MH17862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106080400
—
FL
01
—
MH17862
STATE LICENSE
FL
Enumeration date
04/01/2020
Last updated
07/29/2026
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