Individual
JENNIFER LYNN PITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
890 82ND DR, GLADSTONE, OR 97027-1803
(503) 233-5405
Mailing address
890 82ND DR, GLADSTONE, OR 97027-1803
(503) 233-5405
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0508
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
02/20/2013
Last updated
02/20/2013
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