Amanda Lynne Penkova, MA, LCDC III

NPI #1588129068 in Milford, Ohio

Provider Information

NPI Number
1588129068
Entity Type
Individual
Name
Amanda Lynne Penkova, MA, LCDC III
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
MA, LCDC III
Enumeration Date
Feb 8, 2019
Last Updated
Feb 8, 2019

Practice Location

Address
950 LILA AVE
State
Ohio
ZIP Code
45150-1683
Phone
(937) 546-8212

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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