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Michael Reynard Penn
Peer Specialist in Beaver, West Virginia
NPI 1699425017

Michael Reynard Penn is a Peer Specialist based in Beaver, WV. Michael Reynard Penn practices in Beaver, WV. The NPI Number for Michael Reynard Penn is 1699425017 and holds a License No. (West Virginia).

The current practice location address for Michael Reynard Penn is 175 Philpott Ln, Beaver, WV and can be reached out via phone at 304-254-9262.

Location: 175 Philpott Ln, Beaver, WV, 25813-9501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699425017
Provider Name
Michael Reynard Penn
Credential
Provider Entity Type
Individual
Gender
Male
Address
175 Philpott Ln, Beaver, WV, 25813-9501
Phone Number
304-254-9262
Fax Number
Provider Enumeration Date
03/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
175 Philpott Ln
City
Beaver
State
West Virginia
Zip
25813-9501
Phone Number
304-254-9262
Fax Number
person
Provider Business Mailing Address Details
Address
175 Philpott Ln
City
Beaver
State
West Virginia
Zip
25813-9501
Phone Number
304-254-9262
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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