Individual
LENA M PINKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CADC
Contact information
Practice address
420 E CENTRAL AVE, DECATUR, IL 62521-1050
(217) 330-5676
(217) 330-9712
Mailing address
420 E CENTRAL AVE, DECATUR, IL 62521-1050
(217) 330-5676
(217) 330-9712
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22346
IL
104100000X
Social Worker
150.110865
IL
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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