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Individual

MS. TIFFANY J PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, AADC

Contact information

Practice address
2 CHATEAU GROVE LN, BARBOURSVILLE, WV 25504
(304) 736-9662
(304) 733-0079
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 201-5019

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06-304
WV
101YP2500X
Professional Counselor
Primary
1841
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629489356
WV
Enumeration date
05/15/2014
Last updated
10/16/2019
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