Provider Demographics
NPI:1962506642
Name:MUNIER, KELLY ANN (MS, LPC-MHSP)
Entity Type:Individual
Prefix:MS
First Name:KELLY
Middle Name:ANN
Last Name:MUNIER
Suffix:
Gender:F
Credentials:MS, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 VENTURE PARK
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-1098
Mailing Address - Country:US
Mailing Address - Phone:423-578-7208
Mailing Address - Fax:423-578-7877
Practice Address - Street 1:2005 VENTURE PARK
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-1098
Practice Address - Country:US
Practice Address - Phone:423-578-7208
Practice Address - Fax:423-578-7877
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor