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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDGAR PENROD, PCC-S

Active Sole Proprietor

EDGAR PENROD, PCC-S is a Professional Counselor healthcare provider located in ROCKBRIDGE, Ohio. NPI 1205264009 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · ROCKBRIDGE, OH

Registration Details

NPI Number
1205264009
Provider Type
Individual
Gender
Male
NPI Issued
Oct 15, 2013 (12.845770494116 yrs)
Last Updated
Dec 6, 2024
License
E-0000896 SUPV (OH)
Sole Proprietor
Yes

Practice Information

Address
12538 PLEASANT VALLEY RD
ROCKBRIDGE, OH, 431499768
Browse OH providers · Browse ZIP 43149
Phone
7409743584
Primary Specialty
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.