Doctor Name: | MS. ANITA PINSON |
NPI Number: | 1528113610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, RPT |
License Number: | 2003031289 |
Business Practice Address: | 326 Lowell Williams Rd Linn Creek, MO - 650521851 |
Business Phone Number: | 5734804225 |
Business Fax Number: | |
Mailing Address: | 326 Lowell Williams Rd, LINN CREEK |
State: | MO |
Postal Code: | 650521851 |
Phone Number: | 5733461180 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2003031289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |