Individual provider · Type 1 NPI

Daniel Ray Pennywell

Addiction (Substance Use Disorder) Counselor · Bossier City, LA

NPI number 1376206482 Active

Practice location

1505 Doctors Dr
Bossier City, LA 71111-3321

Call (318) 584-7133 Map

Other practice locations

  • 3821 Southern Ave, Shreveport, LA 71106-1033 · (318) 946-8157

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XCIT-5353 (LA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCIT-5353 (LA)

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

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About NPI 1376206482

Daniel Ray Pennywell's National Provider Identifier is 1376206482, issued on Oct 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bossier City, LA. The record was last updated on Oct 22, 2021.