Individual
THOMAS WAYNE PENNINGTON
Active
Individual
THOMAS WAYNE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WV
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
WV
Other
Enumeration date
04/12/2022
Last updated
04/07/2026
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