Individual
SHANAKQUA PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6327 MARDALE DR, HOUSTON, TX 77016-2420
(832) 226-5347
Mailing address
21801 NORTHCREST DR APT 1223, SPRING, TX 77388-4067
(608) 957-5354
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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