Individual
MR. CLARENCE LEE PITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3886 HENDERSON DR, JACKSONVILLE, NC 28546-5219
(910) 938-9833
Mailing address
3886 HENDERSON DR, JACKSONVILLE, NC 28546-5219
(910) 938-9833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P014939
NC
1041C0700X
Clinical Social Worker
Primary
P014939
NC
Other
Enumeration date
09/18/2020
Last updated
10/09/2020
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