Organization
PENNER COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L. PENNER MSW, LSCSW, LCAC (THERAPIST/OWNER)
(620) 200-4800
Entity
Organization
Contact information
Practice address
101 E 1ST AVE, HUTCHINSON, KS 67501-7147
(620) 200-4800
(620) 662-5621
Mailing address
PO BOX 772, HUTCHINSON, KS 67504-0772
(620) 200-4800
(620) 662-5621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4227
KS
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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