Organization
CINCO NINOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE PINON LPC-S (MANAGING MEMBER)
(512) 956-8268
Entity
Organization
Contact information
Practice address
4301 W WILLIAM CANNON DR, AUSTIN, TX 78749-1473
(512) 956-8268
Mailing address
4301 W WILLIAM CANNON DR, AUSTIN, TX 78749-1473
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65361
TX
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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