Individual
KAYLIE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CCMHC
Contact information
Practice address
27453 CAPSHAW RD STE B, ATHENS, AL 35613
(256) 384-3878
Mailing address
27453 CAPSHAW RD STE B, ATHENS, AL 35613-7565
(256) 343-3037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3944
AL
Other
Enumeration date
03/14/2019
Last updated
04/19/2023
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