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General NPI Number Information
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NPI Number | 1568123636
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Entity Type | Organization
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Legal Business Name | MILLICENT PITTS-LICENSED MARRIAGE & FAMILY THERAPIST
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Dates
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Enumeration Date | 12/31/2021
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 1430 TRUXTUN AVE STE 720
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5220
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Country | US
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Telephone | 661-717-6775
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Fax | 866-812-6912
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Provider Business Mailing Address
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Address Line | 1430 TRUXTUN AVE STE 720
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5220
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Country | US
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Telephone | 661-717-6775
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Fax | 866-812-6912
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Authorized Official
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Title or Position | OWNER
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Name | MILLICENT PITTS
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Credential | LMFT
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Telephone | 661-748-1633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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