Individual provider · Type 1 NPI

Carrie Penrod

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1639492275 Active

Practice location

3499 10th St
Riverside, CA 92501-3617

Call (951) 358-5859 Map

Mailing address

3625 14th St
Riverside, CA 92501-3815

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1639492275

Carrie Penrod's National Provider Identifier is 1639492275, issued on Mar 10, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Aug 14, 2024.