Individual provider · Type 1 NPI

Bryan Alden Pennington, CDCA PHASE 1

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1235607763 Active

Practice location

1 Elizabeth Pl
Dayton, OH 45417-3445

Call (937) 813-1737 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDCII.161727 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X168459 (OH)

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About NPI 1235607763

Bryan Alden Pennington, CDCA PHASE 1's National Provider Identifier is 1235607763, issued on Nov 2, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Aug 10, 2021.