Individual
MS. DESPINA D. PITTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 CONKLING RD, FLANDERS, NJ 07836-9106
(201) 317-1400
Mailing address
6 CONKLING RD, FLANDERS, NJ 07836-9106
(201) 317-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC00489800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4138601
—
NJ
Enumeration date
03/07/2011
Last updated
08/27/2014
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