person
Anthony Penton, LPC-IT
Mental Health Counselor in Fond Du Lac, Wisconsin
NPI 1174276570

Anthony Penton is a Mental Health Counselor based in Fond Du Lac, WI and is specialized in Mental Health. Anthony Penton practices in Fond Du Lac, WI and has the professional credentials of LPC-IT. The NPI Number for Anthony Penton is 1174276570 and holds a License No. 10222-125 (Wisconsin).

The current practice location address for Anthony Penton is 17 Forest Ave Ste 15, Fond Du Lac, WI and can be reached out via phone at 920-933-9256.

Location: 17 Forest Ave Ste 15, Fond Du Lac, WI, 54935-4165
person
Provider Profile Details
NPI Number
1174276570
Provider Name
Anthony Penton
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Male
Address
17 Forest Ave Ste 15, Fond Du Lac, WI, 54935-4165
Phone Number
920-933-9256
Fax Number
Provider Enumeration Date
01/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17 Forest Ave Ste 15
City
State
Zip
54935-4165
Phone Number
920-933-9256
Fax Number
person
Provider Business Mailing Address Details
Address
17 Forest Ave Ste 15
City
State
Zip
54935-4165
Phone Number
920-933-9256
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5024-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
10222-125 (Wisconsin)
Definition
Definition to come...
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