Individual provider · Type 1 NPI

Jessica Sue Penhale

Mental Health Counselor · Detroit, MI

NPI number 1720734015 Active

Practice location

707 W Milwaukee St
Detroit, MI 48202-2943

Mailing address

540 Thompson St # 4073
Ann Arbor, MI 48104-2414

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720734015

Jessica Sue Penhale's National Provider Identifier is 1720734015, issued on Feb 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Feb 24, 2022.