Individual
ASHANTI MUHAMMAD-PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
807 W HIGHWAY 50 STE 3, O FALLON, IL 62269-1856
(618) 347-4129
(618) 247-4487
Mailing address
5850 MACKLIND AVE UNIT 100, SAINT LOUIS, MO 63109-3569
(618) 705-0630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.015683
IL
101YP2500X
Professional Counselor
Primary
180.015683
IL
Other
Enumeration date
12/14/2023
Last updated
01/05/2024
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