Individual
TRACY LYNN PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15502 S TELEGRAPH RD, MONROE, MI 48161-5520
(734) 265-0330
Mailing address
15502 S TELEGRAPH RD, MONROE, MI 48161-5520
(734) 265-0330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016166
MI
Other
Enumeration date
08/18/2017
Last updated
10/21/2019
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