Individual
JEANIE M PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1255 HEBRON RD, HEATH, OH 43056-1004
(740) 844-3145
Mailing address
1984 RED FOREST LN, GALLOWAY, OH 43119-8303
(614) 969-8002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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