Individual provider · Type 1 NPI
Crystal Koren Pellom, LPC-A
Mental Health Counselor · Wilmington, NC
NPI number
1295189702
Active
Practice location
615 Shipyard Blvd
Wilmington, NC 28412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A12297 (NC) |
Mental Health Counselor: Definition to come...
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Other mental health counselor providers in Wilmington
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About NPI 1295189702
Crystal Koren Pellom, LPC-A's National Provider Identifier is 1295189702, issued on Apr 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, NC. The record was last updated on Jul 2, 2018.