Individual provider · Type 1 NPI

Courtney A. Penrose

Mental Health Counselor · Watsonville, CA

NPI number 1609091065 Active

Practice location

335 E Lake Ave
Watsonville, CA 95076

Fax (831) 761-6011

Mailing address

335 East Lake Ave
Watsonville, CA 95076

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609091065

Courtney A. Penrose's National Provider Identifier is 1609091065, issued on Apr 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watsonville, CA. The record was last updated on Jul 3, 2012.