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General NPI Number Information
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NPI Number | 1699290973
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Entity Type | Organization
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Legal Business Name | ANDREAN PITTMANCOUNSELING PLLC
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 301 W MAIN ST STE 402
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City | ARDMORE
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State | OK
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Zip | 73401-6322
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Country | US
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Telephone | 580-465-1691
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Fax | 855-716-4563
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Provider Business Mailing Address
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Address Line | 301 W MAIN ST STE 402
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City | ARDMORE
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State | OK
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Zip | 73401-6322
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Country | US
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Telephone | 15804651691
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Fax | 855-716-4563
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Authorized Official
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Title or Position | OWNER
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Name | ANDREAN KAY PITTMAN
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Credential | MS, LPC, LADC
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Telephone | 580-465-1691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3971
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License Number State | OK
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