Jason R Pettit, LCDC, LPO

NPI #1750771473 in Denison, Texas

Provider Information

NPI Number: 1750771473
Entity Type: Individual
Name: Jason R Pettit, LCDC, LPO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCDC, LPO
Enumeration Date: Feb 2, 2015
Last Updated: Feb 2, 2015

Practice Location

Address: 1739 W PARNELL ST
City: Denison
State: Texas
ZIP Code: 75020-1123
Phone: (903) 816-2405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Community/Behavioral Health	251S00000X

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