Individual
MS. KERI GENISE PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCAS
Contact information
Practice address
1100 NAVAHO DR, SUITE 125, RALEIGH, NC 27609-7319
(919) 431-9874
(919) 431-9875
Mailing address
1100 NAVAHO DR, SUITE 125-126, RALEIGH, NC 27609-7319
(919) 431-9874
(919) 431-9875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
8192
NC
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/19/2010
Last updated
02/01/2016
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