| Jerry Petty Counseling Pllc | |
|
914 N Locust St Denton TX 76201-2954 | |
| (940) 387-6250 | |
| (940) 387-6274 |
| Full Name | Jerry Petty Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 914 N Locust St, Denton, Texas |
| Authorized Official Name and Position | Jerry Lynn Petty (OWNER) |
| Authorized Official Contact | 9404530266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Petty Counseling Pllc 914 N Locust St Denton TX 76201-2954 Ph: (940) 387-6250 | Jerry Petty Counseling Pllc 914 N Locust St Denton TX 76201-2954 Ph: (940) 387-6250 |
| NPI Number | 1306107172 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306107172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 67013 (Texas) | Primary |
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