Individual
PENINA BOGITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LACMH
Contact information
Practice address
252 CARTER DR STE 100, MIDDLETOWN, DE 19709-5858
(302) 449-2223
Mailing address
32 LISA DR, NEWARK, DE 19702-3754
(302) 765-7464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AC-0000124
DE
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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