Individual
JAI PITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
265 TANGLEWOOD LANE, STE W-3, SILVERTHORNE, CO 80498-0000
(970) 468-1003
(970) 262-2196
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904011408
VA
1041C0700X
Clinical Social Worker
Primary
CSW.09926502
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861562472
—
VA
Enumeration date
01/14/2020
Last updated
04/15/2020
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