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Individual

MRS. JANICE HARVEY PENINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC SC NC CACII SC

Contact information

Practice address
44 JORDAN STREET, BREVARD, NC 28712
(828) 553-3640
(828) 883-9227
Mailing address
44 JORDAN STREET, BREVARD, NC 28712
(828) 553-3640
(828) 883-9227

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0610277
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
53214
SC
101YM0800X
Mental Health Counselor
4941
NC
101YP2500X
Professional Counselor
2700
SC
101YP2500X
Professional Counselor
Primary
4941
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6102988
NC
Enumeration date
05/16/2006
Last updated
04/28/2008
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