Individual provider · Type 1 NPI
Rosalynn Hernandez Petrutsas, LPC
Mental Health Counselor · Dallas, TX
NPI number
1629647888
Active
Practice location
4925 Greenville Ave
Dallas, TX 75206-4026
Mailing address
7738 Deer Trail Dr
Dallas, TX 75238-4106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 76987 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1629647888
Rosalynn Hernandez Petrutsas, LPC's National Provider Identifier is 1629647888, issued on Jun 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Jun 22, 2021.