Individual
KIMBERLI PEPELEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
1537 S 7TH ST, TERRE HAUTE, IN 47802-1610
(812) 917-3186
(812) 917-4260
Mailing address
1537 S 7TH ST, TERRE HAUTE, IN 47802-1610
(812) 917-3186
(812) 917-4260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001381A
IN
1041C0700X
Clinical Social Worker
Primary
34006237
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000770392
ANTHEM
IN
Enumeration date
04/19/2011
Last updated
02/13/2014
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