Individual
ANITA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
455 E MOUND ST, COLUMBUS, OH 43215-5595
(614) 242-1284
(614) 242-1285
Mailing address
455 E MOUND ST, COLUMBUS, OH 43215-5595
(614) 242-1284
(614) 242-1285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S.0014553
OH
101YM0800X
Mental Health Counselor
S.0014553
OH
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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