Individual provider · Type 1 NPI

Michelle L. Penfold

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1255849287 Active

Practice location

235 W 9th St
San Pedro, CA 90731-3711

Call (949) 891-3904 Map

Fax (310) 831-5796

Mailing address

240 W 9th St
San Pedro, CA 90731-3712

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1255849287

Michelle L. Penfold's National Provider Identifier is 1255849287, issued on Jan 11, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Jan 11, 2018.