Amanda Lynne Penkova, MA, LCDC III Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Milford, OH

NPI

1588129068

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

LCDCIII.161664 (OH)

Sex

Female

Sole proprietor

Yes

Enumerated

2019-02-08

Last updated

2019-02-08