Individual
CHARLIE PENGOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CDCA
Contact information
Practice address
2005 ASHLAND AVE, TOLEDO, OH 43620-1703
(419) 841-7701
Mailing address
2005 ASHLAND AVE, TOLEDO, OH 43620-1703
(419) 841-7701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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