Individual provider · Type 1 NPI

Gina Fon Pennington, LCPC

Mental Health Counselor · Bowie, MD

NPI number 1295089142 Active

Practice location

12331 Quiet Owl Ln
Bowie, MD 20720-4308

Call (301) 919-1158 Map

Mailing address

839 Bestgate Rd, Suite 300
Annapolis, MD 21401-3472

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC4474 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1295089142

Gina Fon Pennington, LCPC's National Provider Identifier is 1295089142, issued on Oct 30, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bowie, MD. The record was last updated on Oct 30, 2012.