Provider Demographics
NPI:1467771162
Name:PINON, BERNADETTE CHAVEZ (MA, LPC I, NCC)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:CHAVEZ
Last Name:PINON
Suffix:
Gender:F
Credentials:MA, LPC I, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 STRICKLAND DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-6581
Mailing Address - Country:US
Mailing Address - Phone:512-350-6038
Mailing Address - Fax:
Practice Address - Street 1:2001 CHICON ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-2428
Practice Address - Country:US
Practice Address - Phone:512-735-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65361101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional