Individual
ALLEN PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MS, MLADC
Contact information
Practice address
170 EMERALD STREET, SUITE 203, KEENE, NH 03431
(603) 352-1016
Mailing address
170 EMERALD STREET, SUITE 203, KEENE, NH 03431
(603) 352-1016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0951
NH
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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