Individual provider · Type 1 NPI

Jerry Lynn Petty Jr., LPC

Professional Counselor · Denton, TX

NPI number 1992015556 Active

Practice location

914 N Locust St
Denton, TX 76201-2954

Fax (940) 387-6274

Mailing address

4277 Mingo Rd
Denton, TX 76208-3839

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X67013 (TX)

Professional Counselor: Definition to come...

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About NPI 1992015556

Jerry Lynn Petty Jr., LPC's National Provider Identifier is 1992015556, issued on Oct 18, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Denton, TX. The record was last updated on May 16, 2012.