Pitner-Miracle, Debra S.

Pitner-Miracle, Debra S. is an individual health care provider with primary practice located at 303 Pearl Ave Suite C, Oshkosh WI 54901-4774. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pitner-Miracle, Debra S. can be contacted via phone (920) 233-4557.

Contact Information

Primary practice address
303 Pearl Ave Suite C Oshkosh WI 54901-4774
Phone: (920) 233-4557
Fax: (920) 233-5644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2873-125 Wisconsin

Profile Details

NPI number 1700842911
LBN Legal business name Pitner-Miracle, Debra S.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Sep 26th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700842911 NPPES
Wisconsin MEDICAID 39752100

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