JORDAN M PENBERTHY

COLUMBUS, OH
NPI1760020440
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  161775)
Enumeration Date2019-12-13
Last Update Date2022-03-24
Business Address
JORDAN M PENBERTHY CDCA
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1757
Phone number: 614-445-8131
Mailing Address
JORDAN M PENBERTHY CDCA
1791 ALUM CREEK DR
COLUMBUS, OH 43207-1757
Phone number: 614-445-8131
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