Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KALLI KRISTIN PENNER, LCSW
Active Sole ProprietorKALLI KRISTIN PENNER, LCSW is a Mental Health Counselor healthcare provider located in VENEDY, Illinois. NPI 1174033112 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · VENEDY, IL
Registration Details
- NPI Number
- 1174033112
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2017 (8.8828073669937 yrs)
- Last Updated
- Oct 4, 2017
- License
-
149.017923 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13317 COUNTY HIGHWAY 12VENEDY, IL, 622141103Browse IL providers · Browse ZIP 62214
- Phone
- 6183171537
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.