Individual provider · Type 1 NPI
Robert S. Pennello Sr., LCMHCS
Professional Counselor · Waxhaw, NC
NPI number
1750633129
Active
Practice location
136 Waxhaw Pkwy Ste E110
Waxhaw, NC 28173-5029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | S8956 (NC) |
Professional Counselor: Definition to come...
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About NPI 1750633129
Robert S. Pennello Sr., LCMHCS's National Provider Identifier is 1750633129, issued on Oct 10, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waxhaw, NC. The record was last updated on Oct 1, 2020.