Provider Demographics
NPI:1982122594
Name:PITTMAN, MILTON (LCPC,NCC)
Entity type:Individual
Prefix:
First Name:MILTON
Middle Name:
Last Name:PITTMAN
Suffix:
Gender:M
Credentials:LCPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6134 EDLYNNE RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-1926
Mailing Address - Country:US
Mailing Address - Phone:252-452-8141
Mailing Address - Fax:
Practice Address - Street 1:6134 EDLYNNE RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-1926
Practice Address - Country:US
Practice Address - Phone:252-452-8141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-04
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8508101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor