Provider Demographics
NPI:1649726928
Name:PINON, PETER (LPC)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:PINON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75168-0013
Mailing Address - Country:US
Mailing Address - Phone:972-277-1728
Mailing Address - Fax:
Practice Address - Street 1:116 N COLLEGE ST
Practice Address - Street 2:SUITE D
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-3702
Practice Address - Country:US
Practice Address - Phone:972-277-1728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71259101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor