Individual
NICOLE D PITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
554 MALLARD LN, CHOCTAW, OK 73020-7182
(405) 390-0869
Mailing address
624 NW 5TH ST, MOORE, OK 73160-3924
(405) 799-3379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3671
OK
Other
Enumeration date
04/02/2007
Last updated
07/09/2007
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