Individual
KIMBERLY PENERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
291 INDEPENDENCE BLVD STE 532, VIRGINIA BEACH, VA 23462-5473
(757) 962-6889
(757) 962-6766
Mailing address
291 INDEPENDENCE BLVD STE 532, VIRGINIA BEACH, VA 23462-5473
(757) 962-6889
(757) 962-6766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007316
VA
Other
Enumeration date
01/02/2018
Last updated
04/03/2023
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