Individual provider · Type 1 NPI
Tesa Alice Penrod
Addiction (Substance Use Disorder) Counselor · Tuttle, OK
NPI number
1609790260
Active
Practice location
105 W Elm
Tuttle, OK 73089-9033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1609790260
Tesa Alice Penrod's National Provider Identifier is 1609790260, issued on Aug 6, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tuttle, OK. The record was last updated on Aug 6, 2026.