Individual
MRS. TERESA L PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MS, BSE
Contact information
Practice address
829 HALBERT ST, MALVERN, AR 72104-2607
(501) 332-4400
Mailing address
304 CHEATHAM, GURDON, AR 71743
(870) 353-6555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1108063
AR
Other
Enumeration date
09/23/2008
Last updated
03/25/2021
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