Mark Phillip Pitts, CAP, CCJAP
Counselor, Addiction (Substance Use Disorder) in Starke, FL. Individual provider (NPI-1).
NPI number1669947552
StatusActive
Last updated in NPPESOct 8, 2018
Details
- NPI
- 1669947552
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Phillip Pitts
- Credential
- CAP, CCJAP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2018
- Last updated
- Oct 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
17356 Us Highway 301 NStarke, FL 32091-1619
Phone 904-827-7150
Mailing address
6629 Virginia Beach LaneKeystone Heights, FL 32656
Phone 352-475-2517
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Addiction (Substance Use Disorder) Counselor providers in Starke, FL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.