Individual
JERI PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCCSS
Contact information
Practice address
217 DEWEY ST, COLUMBIA, MS 39429-2751
(601) 736-6799
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3737
MS
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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