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Individual

MS. CRYSTAL KOREN PELLOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-A

Contact information

Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412
(910) 343-0145
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 202-9966

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A12297
NC

Other

Enumeration date
04/20/2016
Last updated
07/02/2018
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