| Doctor Name: | KIMBERLY REYNOLDS PRETTY |
| NPI Number: | 1285078345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCAS |
| License Number: | 3100 |
| Business Practice Address: | 285 Camp Easter Rd Lakeview, NC - 283508901 |
| Business Phone Number: | 9102454339 |
| Business Fax Number: | 9102454799 |
| Mailing Address: | 60 Commerce Plaza Cir, Suite 101 PEMBROKE |
| State: | NC |
| Postal Code: | 283727386 |
| Phone Number: | 9105212900 |
| Fax Number: | 9107759165 |
| NPI Enumeration Date: | 04/19/2013 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 3100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |