Individual
THOMAS WAYNE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
2429 8TH AVE, HUNTINGTON, WV 25703-1901
(681) 378-6530
(304) 400-6620
Mailing address
2429 8TH AVE, HUNTINGTON, WV 25703-1901
(681) 378-6530
(304) 400-6620
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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