Provider Demographics
NPI:1881440089
Name:DAKESA PINA, PHD: COUNSELING, CONSULTING, AND TRAINING, PLLC
Entity type:Organization
Organization Name:DAKESA PINA, PHD: COUNSELING, CONSULTING, AND TRAINING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAKESA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:209-432-1442
Mailing Address - Street 1:705 E LINCOLN ST STE 116
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-6406
Mailing Address - Country:US
Mailing Address - Phone:309-431-1442
Mailing Address - Fax:309-753-0031
Practice Address - Street 1:705 E LINCOLN ST STE 116
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-6406
Practice Address - Country:US
Practice Address - Phone:309-431-1442
Practice Address - Fax:309-753-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty