Individual provider · Type 1 NPI
Anne B. Petitto
Professional Counselor · Tyler, TX
NPI number
1730516048
Active
Practice location
1710 Holly Creek Dr
Tyler, TX 75703-0907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1796 (TX) |
| Professional Counselor Primary | 101YP2500X | 15485 (TX) |
Professional Counselor: Definition to come...
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About NPI 1730516048
Anne B. Petitto's National Provider Identifier is 1730516048, issued on Oct 1, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Oct 1, 2013.