Individual
CORNELIUS PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MCP, LPC
Contact information
Practice address
119 W MAPLE AVE, ENID, OK 73701-4027
(580) 234-8865
(580) 234-8361
Mailing address
119 W MAPLE AVE, ENID, OK 73701-4027
(580) 234-8865
(580) 234-8361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3653
OK
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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