Individual provider · Type 1 NPI

Suzanne Marie Pennington

Professional Counselor · Antigo, WI

NPI number 1225108384 Active

Practice location

1225 Langlade Rd
Antigo, WI 54409-2762

Mailing address

1100 Lake View Dr
Wausau, WI 54403-6785

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X847-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1225108384

Suzanne Marie Pennington's National Provider Identifier is 1225108384, issued on Nov 8, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Antigo, WI. The record was last updated on Jul 8, 2007.