Michael Reynard Penn
NPI #1699425017 in Beaver, West Virginia
Provider Information
- NPI Number
- 1699425017
- Entity Type
- Individual
- Name
- Michael Reynard Penn
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Mar 28, 2022
- Last Updated
- Apr 20, 2023
Practice Location
- Address
- 175 PHILPOTT LN
- City
- Beaver
- State
- West Virginia
- ZIP Code
- 25813-9501
- Phone
- (304) 254-9262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Peer Specialist |
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