Individual
MARY ELAINE PENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP, LMHC
Contact information
Practice address
1224 N ASH ST, SPOKANE, WA 99201-2802
(509) 477-1521
(509) 477-1635
Mailing address
1224 N ASH ST, SPOKANE, WA 99201-2802
(509) 477-1521
(509) 477-1635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00002890
WA
101YM0800X
Mental Health Counselor
LH 60158767
WA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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