person
Kalli Kristin Penner, LCSW
Mental Health Counselor in Venedy, Illinois
NPI 1174033112

Kalli Kristin Penner is a Mental Health Counselor based in Jacksonville, IL and is specialized in Mental Health. Kalli Kristin Penner practices in Venedy, IL and has the professional credentials of LCSW. The NPI Number for Kalli Kristin Penner is 1174033112 and holds a License No. 149.017923 (Illinois).

The current practice location address for Kalli Kristin Penner is 13317 County Highway 12, Venedy, IL and can be reached out via phone at 618-317-1537.

Location: 13317 County Highway 12, Venedy, IL, 62650-2243
person
Provider Profile Details
NPI Number
1174033112
Provider Name
Kalli Kristin Penner
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
13317 County Highway 12, Venedy, IL, 62650-2243
Phone Number
618-317-1537
Fax Number
Provider Enumeration Date
10/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13317 County Highway 12
City
State
Zip
62214-1103
Phone Number
618-317-1537
Fax Number
person
Provider Business Mailing Address Details
Address
13317 County Highway 12
City
State
Zip
62214-1103
Phone Number
618-317-1537
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
149.017923 (Illinois)
Definition
Definition to come...
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