Individual provider · Type 1 NPI
Jennifer Pruitt, LPC
Mental Health Counselor · Southlake, TX
NPI number
1962907329
Active
Practice location
630 E Southlake Blvd Ste 112
Southlake, TX 76092-6259
Mailing address
4704 Argyle Ln
Argyle, TX 76226-1517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1962907329
Jennifer Pruitt, LPC's National Provider Identifier is 1962907329, issued on Mar 28, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southlake, TX. The record was last updated on Mar 28, 2018.