Individual
JEANNA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 N CLIFTON ST, FORDYCE, AR 71742-3055
(870) 352-5122
(870) 352-5127
Mailing address
3611 FARM TO MARKET RD, NEW EDINBURG, AR 71660
(870) 313-1366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1603037
AR
101YM0800X
Mental Health Counselor
Primary
P1809130
AR
Other
Enumeration date
03/03/2015
Last updated
05/20/2020
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