person
Leonard Pink, LCSWMSW
Mental Health Counselor in Rockford, Illinois
NPI 1366450629

Leonard Pink is a Mental Health Counselor based in Rockford, IL and is specialized in Mental Health. Leonard Pink practices in Rockford, IL and has the professional credentials of LCSWMSW. The NPI Number for Leonard Pink is 1366450629 and holds a License No. 149001589 (Illinois).

The current practice location address for Leonard Pink is 6975 Redansa Dr, Rockford, IL and can be reached out via phone at 815-398-7000 and via fax at 815-395-0671.

Location: 6975 Redansa Dr, Rockford, IL, 61108-1201
person
Provider Profile Details
NPI Number
1366450629
Provider Name
Leonard Pink
Credential
LCSWMSW
Provider Entity Type
Individual
Gender
Male
Address
6975 Redansa Dr, Rockford, IL, 61108-1201
Phone Number
815-398-7000
Fax Number
815-395-0671
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10106635 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
6975 Redansa Dr
City
State
Zip
61108-1201
Phone Number
815-398-7000
Fax Number
815-395-0671
person
Provider Business Mailing Address Details
Address
6975 Redansa Dr
City
State
Zip
61108-1201
Phone Number
815-398-7000
Fax Number
815-395-0671
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
149001589 (Illinois)
Definition
Definition to come...
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