Doctor Name: | CINDY PITTMAN |
NPI Number: | 1295125839 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | 70436 |
Business Practice Address: | 703 Hwy 90 E Ste 108 Castroville, TX - 78009 |
Business Phone Number: | 8305382467 |
Business Fax Number: | 8305382475 |
Mailing Address: | Po Box 1386, CASTROVILLE |
State: | TX |
Postal Code: | 780091386 |
Phone Number: | 8305382467 |
Fax Number: | 8305382475 |
NPI Enumeration Date: | 02/04/2015 |
NPI Last Update Date: | 02/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 70436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |