BRIAN KEITH PENNINGTON

IRONTON, OH
NPI1588335533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  CDCA.178362)
Enumeration Date2021-09-21
Last Update Date2021-09-21
Business Address
BRIAN KEITH PENNINGTON CDCA
214 S 4TH ST
IRONTON, OH 45638-1610
Phone number: 740-532-3767
Mailing Address
BRIAN KEITH PENNINGTON CDCA
214 S 4TH ST
IRONTON, OH 45638-1610
Phone number: 740-532-3767
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