Individual provider · Type 1 NPI

Charlie Pengov, BA, CDCA

Addiction (Substance Use Disorder) Counselor · Toledo, OH

NPI number 1629582630 Active

Practice location

2005 Ashland Ave
Toledo, OH 43620-1703

Call (419) 841-7701 Map

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 1629582630

Charlie Pengov, BA, CDCA's National Provider Identifier is 1629582630, issued on Nov 29, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Toledo, OH. The record was last updated on Nov 29, 2017.