Individual
LOULA BETT PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., L.P.C.
Contact information
Practice address
1875 FANT DR, FORT OGLETHORPE, GA 30742-3307
(706) 806-1202
Mailing address
19 DAISY LN, FLINTSTONE, GA 30725-6202
(706) 331-0977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002855
GA
Other
Enumeration date
08/24/2007
Last updated
11/08/2010
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