Individual
ANGELA PENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2112 OHIO AVE, SUPERIOR, WI 54880-4436
(715) 468-2841
Mailing address
PO BOX 265, SHELL LAKE, WI 54871-0265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11213-125
WI
Other
Enumeration date
01/25/2023
Last updated
07/29/2024
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