person
David Patrick Penk, MS,QMHP
Mental Health Counselor in Lawrenceville, Illinois
NPI 1982055687

David Patrick Penk is a Mental Health Counselor based in Lawrenceville, IL and is specialized in Mental Health. David Patrick Penk practices in Lawrenceville, IL and has the professional credentials of MS,QMHP. The NPI Number for David Patrick Penk is 1982055687 and holds a License No. (Illinois).

The current practice location address for David Patrick Penk is 11020 State Route 250, Lawrenceville, IL and can be reached out via phone at 618-943-3754 and via fax at 618-943-3657.

Location: 11020 State Route 250, Lawrenceville, IL, 62439
person
Provider Profile Details
NPI Number
1982055687
Provider Name
David Patrick Penk
Credential
MS,QMHP
Provider Entity Type
Individual
Gender
Male
Address
11020 State Route 250, Lawrenceville, IL, 62439
Phone Number
618-943-3754
Fax Number
618-943-3657
Provider Enumeration Date
06/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376006178 05 IL
institution
Provider Business Practice Location Address Details
Address
11020 State Route 250
City
State
Zip
62439
Phone Number
618-943-3754
Fax Number
618-943-3657
person
Provider Business Mailing Address Details
Address
11020 State Route 250
City
State
Zip
62439
Phone Number
618-943-3754
Fax Number
618-943-3657
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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