Individual
MRS. BETTY JO PENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
103 W TUSKEENA ST, WETUMPKA, AL 36092-2420
(334) 531-3876
Mailing address
RR 1 BOX 256, EQUALITY, AL 36026-9122
(334) 531-3876
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
2329
AL
101YP2500X
Professional Counselor
Primary
2329
AL
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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