IndividualActive
Tracey Penrod, LPCC-S, LCDC III
NPI 1184318792 · Professional Counselor · Canton, OH
Provider details
- NPI number
- 1184318792
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC-S, LCDC III
- Sex
- Female
- Sole proprietor
- No
- License
- E0500233 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
626 30th St Nw
Canton, OH 44709-3112
Phone: (330) 815-7935
Approximate (ZIP-level) locationGet directions
Mailing address
626 30th St Nw
Canton, OH 44709-3112
Registry dates
- Enumerated
- 2023-06-06
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.