Doctor Name: | JENNIE L PINION |
NPI Number: | 1073732186 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1601 W 16th St Wellington, KS - 671528125 |
Business Phone Number: | 6203267448 |
Business Fax Number: | |
Mailing Address: | 1601 W 16th St, WELLINGTON |
State: | KS |
Postal Code: | 671528125 |
Phone Number: | 6203267448 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |