Individual provider · Type 1 NPI

Tom Penland

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1487788923 Active

Practice location

1430 Neotomas Ave
Santa Rosa, CA 95405-7575

Call (707) 565-7483 Map

Mailing address

1265 Pacific Ave Apt 31
Santa Rosa, CA 95404-3429

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 1487788923

Tom Penland's National Provider Identifier is 1487788923, issued on Mar 15, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.