Individual
MS. CAROL L PENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
942 W 4TH ST, WINSTON SALEM, NC 27101-2582
(336) 607-7555
(336) 607-7555
Mailing address
PO BOX 5763, WINSTON SALEM, NC 27113-5763
(336) 310-3348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC #3028
NC
Other
Enumeration date
10/29/2006
Last updated
07/08/2007
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