Provider Demographics
NPI:1548726433
Name:TSINNAJINNIE, CORINA
Entity type:Individual
Prefix:
First Name:CORINA
Middle Name:
Last Name:TSINNAJINNIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 IPAI WAY
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91903
Mailing Address - Country:US
Mailing Address - Phone:619-772-6225
Mailing Address - Fax:
Practice Address - Street 1:150 IPAI WAY
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91903
Practice Address - Country:US
Practice Address - Phone:619-415-1144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)