Penvose, Jacob

Penvose, Jacob is an individual health care provider with primary practice located at 3 S Brady St Ste 205 , Du Bois PA 15801-2159. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Penvose, Jacob can be contacted via phone (814) 371-1088.

Contact Information

Primary practice address
3 S Brady St Ste 205 Du Bois PA 15801-2159
Phone: (814) 371-1088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC012394 Pennsylvania

Profile Details

NPI number 1306469937
LBN Legal business name Penvose, Jacob
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2020
Last updated May 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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