Individual
JOHNERIC PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
921 S AUBURN ST, KENNEWICK, WA 99336-5662
(509) 460-2606
(509) 269-7587
Mailing address
921 S AUBURN ST, KENNEWICK, WA 99336-5662
(509) 460-2606
(509) 269-7587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CG60896399
WA
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
BHA.FS.61643379
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164175725
—
WA
Enumeration date
02/02/2022
Last updated
11/20/2025
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