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Individual
TINA BATES PENNINGTON
Active
Individual
TINA BATES PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2000153606
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2000153606
MO
101YM0800X
Mental Health Counselor
2000153606
MO
Other
Enumeration date
12/27/2006
Last updated
09/11/2025
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