Individual
DR. CHERYL L PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, LPCC-S,NCC
Contact information
Practice address
12530 E ST FRANCIS WAY, CORNVILLE, AZ 86325-5950
(601) 207-4554
Mailing address
611 W COUPLES DR, COTTONWOOD, AZ 86326-4252
(352) 870-1135
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-19977
AZ
101YP2500X
Professional Counselor
LPCC-S-252425
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
AZ
Enumeration date
11/15/2021
Last updated
11/15/2021
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