Jeremiah L. Penrod, SMFT

NPI #1568899805 in Nixa, Missouri

Provider Information

NPI Number
1568899805
Entity Type
Individual
Name
Jeremiah L. Penrod, SMFT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Credential
SMFT
Enumeration Date
Oct 1, 2013
Last Updated
Oct 1, 2013

Practice Location

Address
560 W MOUNT VERNON ST
City
Nixa
ZIP Code
65714-9681
Phone
(417) 413-1593

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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