Individual
MICHELLE PINTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLINICAL SOCIAL WORK
Contact information
Practice address
220 HERITAGE WALK STE 101, WOODSTOCK, GA 30188-6458
(770) 376-0906
Mailing address
225 CREEKSTONE RDG, WOODSTOCK, GA 30188-3744
(770) 376-0906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21428
NY
104100000X
Social Worker
Primary
098700
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962937391
MAGNACARE
NY
05
—
1962937391
—
NY
Enumeration date
04/24/2017
Last updated
02/25/2021
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