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Shala Ivett Penzo
Counselor in Worcester, Massachusetts
NPI 1720342769

Shala Ivett Penzo is a Counselor based in Worcester, MA. Shala Ivett Penzo practices in Worcester, MA. The NPI Number for Shala Ivett Penzo is 1720342769 and holds a License No. (Massachusetts).

The current practice location address for Shala Ivett Penzo is 340 Main St, Worcester, MA and can be reached out via phone at 508-791-6723.

Location: 340 Main St, Worcester, MA, 01608-1604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720342769
Provider Name
Shala Ivett Penzo
Credential
Provider Entity Type
Individual
Gender
Female
Address
340 Main St, Worcester, MA, 01608-1604
Phone Number
508-791-6723
Fax Number
Provider Enumeration Date
06/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
340 Main St
City
Worcester
State
Massachusetts
Zip
01608-1604
Phone Number
508-791-6723
Fax Number
person
Provider Business Mailing Address Details
Address
340 Main St
City
Worcester
State
Massachusetts
Zip
01608-1604
Phone Number
508-791-6723
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.
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