| Penrod Counseling Center | |
|
192 N State Road 267 300 Avon IN 46123-9513 | |
| (317) 272-5247 | |
| (317) 272-1340 |
| Full Name | Penrod Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 192 N State Road 267, Avon, Indiana |
| Authorized Official Name and Position | Debra Susan Penrod (OWNER DIRECTOR COUNSELOR) |
| Authorized Official Contact | 3172725247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penrod Counseling Center 192 N State Road 267 Suite 300 Avon IN 46123 Ph: (317) 272-5247 | Penrod Counseling Center 192 N State Road 267 300 Avon IN 46123-9513 Ph: (317) 272-5247 |
| NPI Number | 1447440755 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447440755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39000853A (Indiana) | Primary |
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