Individual
CELESTE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
39 N 25TH ST E, SUPERIOR, WI 54880-5269
(715) 392-8216
(715) 392-6055
Mailing address
39 N 25TH ST E, SUPERIOR, WI 54880-5269
(715) 392-8216
(715) 392-6055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1572
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39605200
—
WI
Enumeration date
09/25/2006
Last updated
07/08/2007
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