Individual provider · Type 1 NPI

Taja Pittman

Mental Health Counselor · St. Louis, MO

NPI number 1720818628 Active

Practice location

5501 Delmar Blvd Ste B300
St. Louis, MO 63112-3078

Mailing address

904 Jefferson Ave
Cleveland, TX 77327-5515

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1720818628

Taja Pittman's National Provider Identifier is 1720818628, issued on Aug 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on Aug 5, 2024.