person
Melinda Kay Pettit
Addiction (Substance Use Disorder) Counselor in Tyler, Texas
NPI 1437605342

Melinda Kay Pettit is an Addiction (Substance Use Disorder) Counselor based in Tyler, TX and is specialized in Addiction (Substance Use Disorder). Melinda Kay Pettit practices in Tyler, TX. The NPI Number for Melinda Kay Pettit is 1437605342 and holds a License No. 12348 (Texas).

The current practice location address for Melinda Kay Pettit is 104 Jordan Plaza Blvd, Tyler, TX and can be reached out via phone at 903-581-9472. You can also correspond with Melinda Kay Pettit through the mailing address at 104 JORDAN PLAZA BLVD, TYLER, TX - 75704-2055 (mailing address contact number: 903-581-9472).

Location: 104 Jordan Plaza Blvd, Tyler, TX, 75704-2055
person
Provider Profile Details
NPI Number
1437605342
Provider Name
Melinda Kay Pettit
Credential
Provider Entity Type
Individual
Gender
Female
Address
104 Jordan Plaza Blvd, Tyler, TX, 75704-2055
Phone Number
903-581-9472
Fax Number
Provider Enumeration Date
08/31/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12348 01 TX LCDC
institution
Provider Business Practice Location Address Details
Address
104 Jordan Plaza Blvd
City
State
Zip
75704-2055
Phone Number
903-581-9472
Fax Number
person
Provider Business Mailing Address Details
Address
104 Jordan Plaza Blvd
City
State
Zip
75704-2055
Phone Number
903-581-9472
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12348 (Texas)
Definition
Definition to come...
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