Individual
NICHOLAS PITARYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
39 WESTERN AVE, SUITE B, SOUTH PARIS, ME 04281-1412
(207) 743-1677
Mailing address
39 PISMIRE MOUNTAIN RD, RAYMOND, ME 04071-6176
(207) 310-1001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5531
ME
101YM0800X
Mental Health Counselor
LM12288
ME
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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