Individual
CASEY PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 IOWA AVE, COLORADO SPRINGS, CO 80909-5930
(719) 358-7338
Mailing address
112 IOWA AVE, COLORADO SPRINGS, CO 80909-5930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NLC. 0014170
CO
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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