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Search › Montana › 101YP2500X

Kenny Pannell, MED, LCPC

NPI 1821142217 · on the registry since 2007 · sole proprietor

Practice

Address
57 Trails End Rd
Eureka, MT 59917
Phone
(406) 889-5577
Fax
(406) 889-5576
Organisation at this address
Chrysalis
Chrysalis School
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana