Individual provider · Type 1 NPI

Heidi Pino

Professional Counselor · Phoenix, AZ

NPI number 1104783083 Active

Practice location

15640 N 7th St
Phoenix, AZ 85022-3512

Mailing address

12061 N 53rd Ave
Glendale, AZ 85304-2708

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-24536 (AZ)

Professional Counselor: Definition to come...

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About NPI 1104783083

Heidi Pino's National Provider Identifier is 1104783083, issued on Jan 5, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 25, 2026.