Individual
DAVID PINES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Contact information
Practice address
14707 S CHESHIRE ST, BURTON, OH 44021-9601
(440) 887-1100
(440) 887-1103
Mailing address
6900 RIDGE RD, PARMA, OH 44129-5650
(440) 887-1100
(440) 887-1100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141005
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
APS.001719
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0372835
—
OH
Enumeration date
07/27/2015
Last updated
02/02/2026
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