Individual
CHARLES PENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6318 W MIAMI ST, PHOENIX, AZ 85043-1935
(925) 470-9032
Mailing address
4810 W BLOOMFIELD RD, GLENDALE, AZ 85304-2222
(925) 470-9032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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