Individual
THOMAS PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 S 3RD ST, NYSSA, OR 97913-3815
(541) 372-5738
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10576
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500846550
—
OR
Enumeration date
08/27/2024
Last updated
01/14/2026
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