Organization
DS PENROD & ASSOC
Active
Parent organization
DS PENROD AND ASSOCIATES
Other names
Penrod Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DS PENROD AND ASSOCIATES
Authorized official
MR. DEBRA SUSAN PENROD PHD LMHC MAC CADACI (OWNER DIRECTOR COUNSELOR)
(317) 272-5247
Entity
Organization
Contact information
Practice address
192 N STATE ROAD 267, 300, AVON, IN 46123-9513
(317) 272-5247
(317) 272-1340
Mailing address
192 N STATE ROAD 267, SUITE 300, AVON, IN 46123
(317) 272-5247
(317) 272-1340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000853A
IN
Other
Enumeration date
08/01/2007
Last updated
07/03/2008
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