Provider Demographics
NPI:1689943730
Name:PINKERTON, CAROL JUNE (LMFT)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:JUNE
Last Name:PINKERTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:JUNE
Other - Last Name:TUMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2200 W MEEKER ST APT Y611
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-3520
Mailing Address - Country:US
Mailing Address - Phone:404-939-4720
Mailing Address - Fax:
Practice Address - Street 1:2200 W MEEKER ST APT Y611
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-3520
Practice Address - Country:US
Practice Address - Phone:404-939-4720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001673106H00000X
WALF60973137106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist