Dakesa Dawn Pina in Bloomington - Marriage & Family Therapist

Dakesa Dawn Pina - NPI 1306989710

Dakesa Dawn Pina is a Marriage & Family Therapist in Bloomington, Illinois. Dakesa Dawn Pina practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Dakesa Dawn Pina is 1306989710. The last update date is 2019-01-31.

Dakesa Dawn Pina's current location address is 2003 Interurban Rd, Bloomington, Illinois. You can contact this provider via phone number 8069282420. The mailing address for Dakesa Dawn Pina is 2003 Interurban Rd, Bloomington, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Dakesa Dawn Pina
Address 2003 Interurban Rd, Bloomington, Illinois
Phone Number 8069282420
Fax Number
Sole Proprietor Y
Credentials PHD, LMFT

NPI Number Detail

NPI Number 1306989710
Provider Enumeration Date 2007-02-15
Last Updated Date 2019-01-31

Provider Mailing Address Detail

Address 2003 Interurban Rd
City Bloomington
State Illinois (IL)
Post Code 617055103
Phone Number 8069282420
Fax Number

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No 5009
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1608937-01 TX --

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FAQs about Dakesa Dawn Pina

What is the unique 10-digit identification code assigned to Dakesa Dawn Pina by the Centers for Medicare & Medicaid Services?

The Dakesa Dawn Pina has been issued the NPI (National Provider Identifier) 1306989710, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Dakesa Dawn Pina is physically located?

The Dakesa Dawn Pina is physically situated at the following address: 2003 Interurban Rd, Bloomington, IL, 617055103.

What is Dakesa Dawn Pina's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Dakesa Dawn Pina is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1306989710 to Dakesa Dawn Pina?

The Centers for Medicare & Medicaid Services originally issued the 1306989710 to Dakesa Dawn Pina on 2007-02-15.

When was the information pertaining to Dakesa Dawn Pina most recently updated or revised?

The details related to Dakesa Dawn Pina, including its address, specialty, and other relevant information, were last updated or revised on 2019-01-31.

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