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Lisa Marie Pink, CADC-I
Addiction (Substance Use Disorder) Counselor in Bloomington, California
NPI 1386988137

Lisa Marie Pink is an Addiction (Substance Use Disorder) Counselor based in Bloomington, CA and is specialized in Addiction (Substance Use Disorder). Lisa Marie Pink practices in Bloomington, CA and has the professional credentials of CADC-I. The NPI Number for Lisa Marie Pink is 1386988137 and holds a License No. (California).

The current practice location address for Lisa Marie Pink is 18612 Santa Ana Ave, Bloomington, CA and can be reached out via phone at 909-421-7120.

Location: 18612 Santa Ana Ave, Bloomington, CA, 92316-2639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386988137
Provider Name
Lisa Marie Pink
Credential
CADC-I
Provider Entity Type
Individual
Gender
Female
Address
18612 Santa Ana Ave, Bloomington, CA, 92316-2639
Phone Number
909-421-7120
Fax Number
Provider Enumeration Date
11/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18612 Santa Ana Ave
City
Bloomington
State
California
Zip
92316-2639
Phone Number
909-421-7120
Fax Number
person
Provider Business Mailing Address Details
Address
18612 Santa Ana Ave
City
Bloomington
State
California
Zip
92316-2639
Phone Number
909-421-7120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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