Individual provider · Type 1 NPI

Kyle Wayne Petitt

Counselor · Oklahoma City, OK

NPI number 1780937060 Active

Practice location

10344 Greenbriar Pkwy
Oklahoma City, OK 73159-7643

Fax (405) 759-2578

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1780937060

Kyle Wayne Petitt's National Provider Identifier is 1780937060, issued on Oct 24, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 24, 2012.