Individual
JENNIFER PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
827 W HARVARD ST, SILOAM SPRINGS, AR 72761-4013
(479) 549-3121
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1710312
AR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
P2012122
AR
Other
Enumeration date
01/22/2018
Last updated
01/22/2021
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