Individual
CARLEN PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
3418 LAKE AVE, ASHTABULA, OH 44004-5763
(440) 650-5030
Mailing address
3418 LAKE AVE, ASHTABULA, OH 44004-5763
(440) 650-5030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171485
OH
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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