Individual
DEBRA S. PITNER-MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
303 PEARL AVE, SUITE C, OSHKOSH, WI 54901-4774
(920) 233-4557
(920) 233-5644
Mailing address
PO BOX 679, OSHKOSH, WI 54903-0679
(920) 233-4557
(920) 233-5644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2873-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39752100
—
WI
Enumeration date
04/25/2006
Last updated
09/26/2007
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