Provider Demographics
NPI:1023363801
Name:PITARU, DIANA CATALINA (LPC)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:CATALINA
Last Name:PITARU
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1834
Mailing Address - Country:US
Mailing Address - Phone:720-460-0552
Mailing Address - Fax:
Practice Address - Street 1:3243 BIRCH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1834
Practice Address - Country:US
Practice Address - Phone:720-460-0552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012105101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health