Individual
MR. ANTHONY PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCAS
Contact information
Practice address
302 N MAIN ST, FAIRMONT, NC 28340-1730
(910) 628-5655
(888) 241-5857
Mailing address
302 N MAIN ST, FAIRMONT, NC 28340-1730
(910) 628-5655
(888) 241-5857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1665
NC
Other
Enumeration date
03/31/2010
Last updated
07/30/2012
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