MR. Kyle Jamison Penniman, MSW, LISAC, CADAC is an addiction (substance use disorder) counselor in Phoenix, AZ. MR. Kyle Jamison Penniman, MSW, LISAC, CADAC NPI is 1922267079. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4020 N 20TH ST STE 302
PHOENIX, AZ
ZIP 85016-032
Phone: (602) 535-6468
The enumeration date for this NPI number is 6/4/2008 and was last updated on 7/27/2012.