Individual
ROXANNE PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 MURFREESBORO PIKE, NASHVILLE, TN 37210-3512
(615) 880-2969
Mailing address
PO BOX 196300, NASHVILLE, TN 37219-6300
(618) 862-7773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4563
TN
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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