Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 0014080 | CO |
NPI | 1003368846 |
---|---|
Provider Name | James Pinkney III |
First Address | Aurora, CO 80011-8328 |
Second Address | Aurora, CO 80011-8327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2016 |
Last Update Date | 27/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101M0800X | (05) | CO |
101YA0400X | (05) | CO |
101YP2500X | (05) | CO |
103TB0200X | (05) | CO |