Provider Demographics
NPI:1326685470
Name:PINCIN, JEFFREY JR (LPCMH)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:PINCIN
Suffix:JR
Gender:M
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 OGLETOWN RD #7241
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19714
Mailing Address - Country:US
Mailing Address - Phone:302-722-5109
Mailing Address - Fax:
Practice Address - Street 1:10 MATTHEWS RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2557
Practice Address - Country:US
Practice Address - Phone:302-722-5109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0001011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health