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Individual

JENNIE L PINION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448
Mailing address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KS
104100000X
Social Worker
Primary
9573
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100229020A
KS
Enumeration date
04/25/2007
Last updated
06/16/2015
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