Provider Demographics
NPI:1427195700
Name:PITTENGER, JAMES E (LMFT, CEAP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:PITTENGER
Suffix:
Gender:M
Credentials:LMFT, CEAP
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:PITTENGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1688
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97439-0109
Mailing Address - Country:US
Mailing Address - Phone:541-997-9638
Mailing Address - Fax:
Practice Address - Street 1:1495 W. 8TH STREET
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439-0000
Practice Address - Country:US
Practice Address - Phone:541-997-9638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0006 LMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist