Anthony Penton, LPC-IT
NPI #1174276570 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1174276570
- Entity Type
- Individual
- Name
- Anthony Penton, LPC-IT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC-IT
- Enumeration Date
- Jan 27, 2022
- Last Updated
- Feb 9, 2023
Practice Location
- Address
- 17 FOREST AVE STE 15
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4165
- Phone
- (920) 933-9256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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