MEDICARE: GLORIA MARIA PINA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHC.LH.61639494	WA

General Provider Information

NPI Number	:	1679421713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA MARIA PINA

Provider Business Mailing Address
First Line	:	144 ERICA DR
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-8463
Country	:	US
Telephone Number	:	509-438-1122
Fax Number	:

Provider Business Practice Location Address
First Line	:	144 ERICA DR
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-8463
Country	:	US
Telephone Number	:	509-438-1122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ GLORIA MARIA PINA ” Practice Location

Language	Start Address	Practice Location

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