Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Alden Pennington, CDCAPHASE1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235607763

Bryan Alden Pennington, CDCAPHASE1 is an Addiction (Substance Use Disorder) Counselor in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1 Elizabeth Pl
Dayton, OH 45417-3445
Phone: (937) 813-1737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 168459 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCDCII.161727 (OH)

Record details

NPI number1235607763
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCAPHASE1
Sole proprietorNo
NPI enumeratedNovember 2, 2018
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address1 Elizabeth Pl, Dayton, OH 45417-3445

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