Individual
JACLYN E PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH, INC., DAYTON, OH 45417-3424
(937) 746-1154
Mailing address
601 S EDWIN C MOSES BLVD, 4TH FLOOR NW BLDG, SAMARITAN BEHAVIORAL HEALTH INC, DAYTON, OH 45417-3424
(937) 734-8333
(937) 734-4343
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/19/2017
Last updated
04/28/2025
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