Individual
JAMES PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 S 42ND ST, OMAHA, NE 68105-2909
(402) 553-3000
Mailing address
5249 NW RADIAL HWY, OMAHA, NE 68104-3563
(602) 639-1013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10925
NE
Other
Enumeration date
07/20/2016
Last updated
08/11/2016
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