MEDICARE: SEAN PENNY MA LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PRC15438	DC

General Provider Information

NPI Number	:	1952916629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN PENNY MA LPC

Provider Business Mailing Address
First Line	:	1555 CONNECTICUT AVE NW STE 401
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-1124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 CONNECTICUT AVE NW STE 300W
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-1125
Country	:	US
Telephone Number	:	202-913-9284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	06/23/2023

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Directions to “ SEAN PENNY MA LPC ” Practice Location

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