Celeste Pennington in Superior - Counselor
Celeste Pennington - NPI 1255431557
Celeste Pennington is a Counselor in Superior, Wisconsin. Celeste Pennington practices all healthcare services and medical treatments related to Counselor. The NPI Number for Celeste Pennington is 1255431557. The last update date is 2007-07-08.
Celeste Pennington's current location address is 39 N 25th St E, Superior, Wisconsin. You can contact this provider via phone number 7153928216 and fax number 7153926055. The mailing address for Celeste Pennington is 39 N 25th St E, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Celeste Pennington |
|---|---|
| Address | 39 N 25th St E, Superior, Wisconsin |
| Phone Number | 7153928216 |
| Fax Number | 7153926055 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1255431557 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 39 N 25th St E |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 548805269 |
| Phone Number | 7153928216 |
| Fax Number | 7153926055 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 1572 |
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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 supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39605200 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Celeste Pennington by the Centers for Medicare & Medicaid Services?
The Celeste Pennington has been assigned the NPI (National Provider Identifier) 1255431557. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Celeste Pennington is located?
The Celeste Pennington is situated at the following address: 39 N 25Th St E, Superior, WI, 548805269.
What is the Celeste Pennington's specialty and taxonomy code?
The Celeste Pennington's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255431557 to Celeste Pennington?
The Celeste Pennington received its 1255431557 assignment from the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the details related to Celeste Pennington most recently updated or revised?
The information pertaining to Celeste Pennington, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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