Tristan K Petty, LPC/MHSP

NPI #1659782647 in Madison, Tennessee

Provider Information

NPI Number: 1659782647
Entity Type: Individual
Name: Tristan K Petty, LPC/MHSP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC/MHSP
Enumeration Date: May 13, 2014
Last Updated: Jan 16, 2020

Practice Location

Address: 607 W DUE WEST AVE STE 106
City: Madison
State: Tennessee
ZIP Code: 37115-4420
Phone: (615) 964-7113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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