Provider Information for 1396325395
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KELLI ANNETTE PINION LCMHCA
Sex: Female
NPI: 1396325395
Last Updated: 2021-05-18
Certification Date: 2021-05-18
Certification Date: 2021-05-18
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1396325395 | ||||||||||||
| Enumeration Date | 2021-04-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 104 FOX TRAIL RD OAKBORO, NC 28129-9419 United States Phone: 704-699-1398 | Fax: | ||||||||||||
| Primary Practice Address | 2620 W MAIN ST ALBEMARLE, NC 28001-7457 United States Phone: 980-581-8144 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 104 FOX TRAIL RD | ||||||||||||
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