Provider Demographics
NPI:1629681945
Name:PINKSTON, RACHEL ANN (MACP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:PINKSTON
Suffix:
Gender:F
Credentials:MACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 STRACHAN DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2130
Mailing Address - Country:US
Mailing Address - Phone:970-568-3719
Mailing Address - Fax:
Practice Address - Street 1:515 STRACHAN DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2130
Practice Address - Country:US
Practice Address - Phone:970-568-3719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator