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Individual

DR. KELSEY JO PENIX

Active
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Individual

DR. KELSEY JO PENIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMHC, LPCC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401017288
MI
101YM0800X
Mental Health Counselor
CMH0211101
NM
101YM0800X
Mental Health Counselor
Primary
MH25502
FL
101YS0200X
School Counselor
PV0000000820594
MI

Other

Enumeration date
06/20/2017
Last updated
07/13/2025
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