Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaile Renee Pennock

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1740932086

Kaile Renee Pennock is an Addiction (Substance Use Disorder) Counselor in Escondido, California. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

474 W Vermont Ave Ste 104
Escondido, CA 92025-6584
Phone: (760) 432-9884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740932086
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2022
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

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