Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | LCC05018 | FL |
Y | 101YP1600X | Pastoral Counselor | LCC05018 | FL |
NPI | 1326292467 |
---|---|
Provider Name | Dr. Maria Pinto |
First Address | Palm Coast, FL 32137-3852 |
Second Address | Palm Coast, FL 32137-3852 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2008 |
Last Update Date | 14/11/2008 |