Individual
ANTHONY JESUS PITALUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
403 SOUTH HAWTHORNE ROAD, WINSTON-SALEM, NC 27157-1097
(336) 716-0800
(336) 716-0822
Mailing address
403 SOUTH HAWTHORNE ROAD, WINSTON-SALEM, NC 27157-1097
(336) 716-0800
(336) 716-0822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH6404
FL
101YP2500X
Professional Counselor
6983
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140700
—
FL
Enumeration date
07/01/2008
Last updated
03/02/2011
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