Individual provider · Type 1 NPI

Perry Petite

Mental Health Counselor · Ruston, LA

NPI number 1366999765 Active

Practice location

206 E Reynolds Dr Ste F
Ruston, LA 71270-2873

Fax (318) 254-7053

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1366999765

Perry Petite's National Provider Identifier is 1366999765, issued on Sep 2, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ruston, LA. The record was last updated on Sep 2, 2016.