Most Relevant Information
Provider Data
NPI Number: | 1003282641 |
Provider Name: | JAMES PITTMAN MS,PCMHT |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/18/2015 |
Last Updated: | 09/12/2019 |
Provider Practice Location
604 HIGHWAY 80 W
CLINTON
MS
390564108
Practice Location Phone/Fax
Phone: | 6014732106 |
Fax: | 6014732150 |
Provider Mailing Location
604 HIGHWAY 80 W
CLINTON
MS
390564108
Provider Mailing Phone/Fax
Phone: | 6014732106 |
Fax: | 6014732150 |