Individual
KIMBERLY PENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
5005 BOWLING ST SW STE C, CEDAR RAPIDS, IA 52404-5070
(319) 249-5198
Mailing address
5005 BOWLING ST SW STE C, CEDAR RAPIDS, IA 52404-5070
(319) 249-5198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24068
IA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T24068
IA
Other
Enumeration date
10/03/2024
Last updated
02/25/2026
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