Individual
MS. BRENDA PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4242
Mailing address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
(937) 342-4242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0002566
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004467
ANTHEM
OH
01
—
0007167153
AETNA
OH
Enumeration date
10/31/2005
Last updated
12/15/2016
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