KYLE JAMISON PENNIMAN

PHOENIX, AZ
NPI1922267079
Former NameCOURTNEY PENNIMAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2008-06-04
Last Update Date2012-07-27
Business Address
MR. KYLE JAMISON PENNIMAN MSW, LISAC, CADAC
4020 N 20TH ST STE 302
PHOENIX, AZ 85016-6032
Phone number: 602-535-6468
Mailing Address
MR. KYLE JAMISON PENNIMAN MSW, LISAC, CADAC
4020 N 20TH ST STE 302
PHOENIX, AZ 85016-6032
Phone number: 602-535-6468