Individual
RAYMOND PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
2700 E 30TH AVE, HUTCHINSON, KS 67502
(620) 663-8484
Mailing address
2700 E 30TH AVE, HUTCHINSON, KS 67502
(620) 663-8484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7410
KS
1041C0700X
Clinical Social Worker
05301
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264950A
—
KS
05
—
200627420B
—
KS
Enumeration date
06/05/2009
Last updated
06/09/2021
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