Individual
CHRISTINA M PENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E MAIN ST STE 300, COLUMBUS, OH 43215-5369
(614) 355-6300
(614) 355-6310
Mailing address
PO BOX 78000, DEPT. 781625, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1800532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
06/05/2013
Last updated
03/15/2018
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