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Individual

JOHN PITMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092-3443
(262) 999-3495
Mailing address
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092-3443
(608) 213-9857

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19437
WI
101YM0800X
Mental Health Counselor
132296
WI
104100000X
Social Worker
132296
WI
1041C0700X
Clinical Social Worker
Primary
10089
WI

Other

Enumeration date
06/18/2021
Last updated
07/09/2025
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