Individual provider · Type 1 NPI

Courtney Darlene Penrod, BS MHP

Mental Health Counselor · Vienna, IL

NPI number 1629375779 Active

Practice location

408 E Vine St
Vienna, IL 62995-1612

Fax (618) 658-2501

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629375779

Courtney Darlene Penrod, BS MHP's National Provider Identifier is 1629375779, issued on Feb 24, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vienna, IL. The record was last updated on Feb 24, 2011.