Provider Demographics
NPI:1992011928
Name:PITTS, JUNE ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JUNE
Middle Name:ANN
Last Name:PITTS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JUNE
Other - Middle Name:ANN
Other - Last Name:FAUST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6726 E. COOPER STREET
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-1022
Mailing Address - Country:US
Mailing Address - Phone:520-419-7655
Mailing Address - Fax:
Practice Address - Street 1:6726 E COOPER ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-1022
Practice Address - Country:US
Practice Address - Phone:520-419-7655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW12658101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional