Most Relevant Information
Provider Data
| NPI Number: | 1003488107 |
| Provider Name: | KIMBERLY PINKSTON LCPC, CADC, BC-DMT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 180-004817 |
Most Important Dates
| Enumeration Date: | 07/16/2021 |
| Last Updated: | 07/16/2021 |
Provider Practice Location
8041 186TH ST STE B
TINLEY PARK
IL
604879344
Practice Location Phone/Fax
| Phone: | 8153101582 |
| Fax: |
Provider Mailing Location
8041 186TH ST STE B
TINLEY PARK
IL
604879344
Provider Mailing Phone/Fax
| Phone: | 8153101582 |
| Fax: |