Kendelle Rose Pitts
Counselor in Waterbury, CT. Individual provider (NPI-1).
NPI number1619703972
StatusActive
Last updated in NPPESSep 12, 2024
Details
- NPI
- 1619703972
- Entity type
- Individual (NPI-1)
- Name
- Kendelle Rose Pitts
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2024
- Certification date
- Sep 12, 2024
- Last updated
- Sep 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
50 Brookside RdWaterbury, CT 06708-1402
Phone 203-568-7474
Mailing address
119 Newport DrWaterbury, CT 06705-2500
Phone 203-560-9649
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