Provider Demographics
NPI:1992237028
Name:PINCKNEY, APRIL DALENEA (BA, CDP)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DALENEA
Last Name:PINCKNEY
Suffix:
Gender:F
Credentials:BA, CDP
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:
Other - Last Name:FAIRFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, CDP
Mailing Address - Street 1:1101 W COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2010
Mailing Address - Country:US
Mailing Address - Phone:509-324-1682
Mailing Address - Fax:509-327-0163
Practice Address - Street 1:1101 W COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2010
Practice Address - Country:US
Practice Address - Phone:509-324-1682
Practice Address - Fax:509-327-0163
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP 60145194101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)