Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1235205782 |
---|---|
Provider Name | Mr. Cipriano Edward Pinkney |
First Address | Los Angeles, CA 90005-1355 |
Second Address | Los Angeles, CA 90005-1355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 02/05/2017 |