Individual
MS. GINA FON PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12331 QUIET OWL LN, BOWIE, MD 20720-4308
(301) 919-1158
Mailing address
839 BESTGATE RD, SUITE 300, ANNAPOLIS, MD 21401-3472
(301) 919-1158
(410) 224-3711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4474
MD
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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