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Individual
MICHELLE MARIE PINNOW
Active
Individual
MICHELLE MARIE PINNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LCPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-LAC-LIC-1364
MT
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-30458
MT
Other
Enumeration date
05/10/2013
Last updated
11/11/2019
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