| Doctor Name: | MRS. BETTY JO PENTON |
| NPI Number: | 1508175498 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | 2329 |
| Business Practice Address: | 103 W Tuskeena St Wetumpka, AL - 360922420 |
| Business Phone Number: | 3345313876 |
| Business Fax Number: | |
| Mailing Address: | Rr 1 Box 256, EQUALITY |
| State: | AL |
| Postal Code: | 360269122 |
| Phone Number: | 3345313876 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2010 |
| NPI Last Update Date: | 09/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 2329 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |