Individual
DANIEL W PITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1102 8TH STREET, DAVENPORT, WA 99122
(509) 725-8379
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001397
WA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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