Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 58-2089486 | GA |
NPI | 1093064800 |
---|---|
Provider Name | Patricia Binns Farinola |
First Address | Atlanta, GA 30328-5387 |
Second Address | Atlanta, GA 30328-5387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2012 |
Last Update Date | 07/09/2012 |