Individual
MRS. CHRISTINE NICOLE PENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
516 IDEAL ST, MILAN, MI 48160-1415
(615) 630-0550
Mailing address
516 IDEAL ST, MILAN, MI 48160-1415
(615) 630-0550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7336
TN
Other
Enumeration date
07/19/2021
Last updated
12/06/2024
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