MR. Robert S Pennello SR., LCMHCS
NPI #1750633129 in Waxhaw, North Carolina
Provider Information
- NPI Number
- 1750633129
- Entity Type
- Individual
- Name
- MR. Robert S Pennello SR., LCMHCS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCMHCS
- Enumeration Date
- Oct 10, 2012
- Last Updated
- Oct 1, 2020
Practice Location
- Address
- 136 WAXHAW PKWY STE E110
- City
- Waxhaw
- State
- North Carolina
- ZIP Code
- 28173-5029
- Phone
- (919) 522-1559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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