Organization
WASHINGTON MONITORING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNERIC PENNEY (FOUNDER)
(509) 460-2606
Entity
Organization
Contact information
Practice address
5426 ROAD 68 STE D102, PASCO, WA 99301-9930
(509) 460-2606
Mailing address
163 OAKLAND ST, RICHLAND, WA 99352-7664
(506) 460-2606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/27/2023
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