person
Mr. Kyle Jamison Penniman, MSW,LISAC,CADAC
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1922267079

Kyle Jamison Penniman is an Addiction (Substance Use Disorder) Counselor based in Phoenix, AZ and is specialized in Addiction (Substance Use Disorder). Kyle Jamison Penniman practices in Phoenix, AZ and has the professional credentials of MSW,LISAC,CADAC. The NPI Number for Kyle Jamison Penniman is 1922267079 and holds a License No. (Arizona).

The current practice location address for Kyle Jamison Penniman is 4020 N 20Th St Ste 302, Phoenix, AZ and can be reached out via phone at 602-535-6468.

Location: 4020 N 20Th St Ste 302, Phoenix, AZ, 85016-6032
person
Provider Profile Details
NPI Number
1922267079
Provider Name
Kyle Jamison Penniman
Credential
MSW,LISAC,CADAC
Provider Entity Type
Individual
Gender
Male
Address
4020 N 20Th St Ste 302, Phoenix, AZ, 85016-6032
Phone Number
602-535-6468
Fax Number
Provider Enumeration Date
06/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4020 N 20Th St Ste 302
City
State
Zip
85016-6032
Phone Number
602-535-6468
Fax Number
person
Provider Business Mailing Address Details
Address
4020 N 20Th St Ste 302
City
State
Zip
85016-6032
Phone Number
602-535-6468
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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