Individual provider · Type 1 NPI
Tracey Lynn Penrod, LPCC-S, LCDC III
Professional Counselor · Canton, OH
NPI number
1184318792
Active
Practice location
626 30th St NW
Canton, OH 44709-3112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | E0500233 (OH) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1184318792
Tracey Lynn Penrod, LPCC-S, LCDC III's National Provider Identifier is 1184318792, issued on Jun 6, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Canton, OH. The record was last updated on Jun 14, 2023.