Individual provider · Type 1 NPI
Melinda Kay Pettit
Addiction (Substance Use Disorder) Counselor · Tyler, TX
NPI number
1437605342
Active
Practice location
104 Jordan Plaza Blvd, Suite 402-403
Tyler, TX 75704-2055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12348 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1437605342
Melinda Kay Pettit's National Provider Identifier is 1437605342, issued on Aug 31, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tyler, TX. The record was last updated on Aug 31, 2016.