Individual provider · Type 1 NPI

Courtney Anne Penebaker, CADC II

Addiction (Substance Use Disorder) Counselor · Visalia, CA

NPI number 1679076509 Active

Practice location

320 W Oak Ave
Visalia, CA 93291-4929

Call (559) 625-2995 Map

Fax (559) 625-4729

Other practice locations

  • 1425 East Walnut, Visalia, CA 93292 · (559) 625-0440

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1294550318 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XCI31061020 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA061741022 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1679076509

Courtney Anne Penebaker, CADC II's National Provider Identifier is 1679076509, issued on Mar 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Visalia, CA. The record was last updated on Jul 10, 2025.