Provider Demographics
NPI:1144969452
Name:PINNOCK, LOREN LEE (LPC)
Entity type:Individual
Prefix:MR
First Name:LOREN
Middle Name:LEE
Last Name:PINNOCK
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 1:60 PADANARAM RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-3781
Mailing Address - Country:US
Mailing Address - Phone:917-751-6222
Mailing Address - Fax:
Practice Address - Street 1:60 PADANARAM RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-3781
Practice Address - Country:US
Practice Address - Phone:917-751-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty