Individual provider · Type 1 NPI

Leonard Pink, LCSW MSW

Mental Health Counselor · Rockford, IL

NPI number 1366450629 Active

Practice location

6975 Redansa Dr
Rockford, IL 61108-1201

Fax (815) 395-0671

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X149001589 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1366450629

Leonard Pink, LCSW MSW's National Provider Identifier is 1366450629, issued on Aug 3, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rockford, IL. The record was last updated on Jul 8, 2007.