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Individual

LUCAS PITMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
805 LIBERTY ST NE STE 2, SALEM, OR 97301-2463
(503) 589-3112
(503) 589-3179
Mailing address
805 LIBERTY ST NE STE 2, SALEM, OR 97301-2463
(503) 881-9269

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
06/07/2013
Last updated
10/06/2021
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