Individual provider · Type 1 NPI

Michael Reynard Penn

Peer Specialist · Beaver, WV

NPI number 1699425017 Active

Practice location

175 Philpott Ln
Beaver, WV 25813-9501

Call (304) 254-9262 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1699425017

Michael Reynard Penn's National Provider Identifier is 1699425017, issued on Mar 28, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Beaver, WV. The record was last updated on Apr 20, 2023.