MEDICARE: ALLISON PINKERTON LMFT

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	106H00000X	Marriage & Family Therapist	LMFT 99002	CA

General Provider Information

NPI Number	:	1801146972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON PINKERTON LMFT

Provider Business Mailing Address
First Line	:	PO BOX 474
Second Line	:
City	:	MOUNT SHASTA
State	:	CA
Zip	:	96067-0474
Country	:	US
Telephone Number	:	530-351-1286
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 S MOUNT SHASTA BLVD STE C
Second Line	:
City	:	MOUNT SHASTA
State	:	CA
Zip	:	96067-2764
Country	:	US
Telephone Number	:	530-351-1286
Fax Number	:

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

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	02/24/2026

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