Individual
MR. CHARLES LLOYD PITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SWA, CDCA
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(800) 829-5461
Mailing address
671 N KING ST, XENIA, OH 45385-2211
(937) 825-1045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA080510
OH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/13/2018
Last updated
11/04/2024
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