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Anne B Petitto
Professional Counselor in Tyler, Texas
NPI 1730516048

Anne B Petitto is a Professional Counselor based in Tyler, TX and is specialized in Professional. Anne B Petitto practices in Tyler, TX. The NPI Number for Anne B Petitto is 1730516048 and holds a License No. 1796 (Texas).

The current practice location address for Anne B Petitto is 1710 Holly Creek Dr, Tyler, TX and can be reached out via phone at 903-617-6606.

Location: 1710 Holly Creek Dr, Tyler, TX, 75703-0907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730516048
Provider Name
Anne B Petitto
Credential
Provider Entity Type
Individual
Gender
Female
Address
1710 Holly Creek Dr, Tyler, TX, 75703-0907
Phone Number
903-617-6606
Fax Number
Provider Enumeration Date
10/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1710 Holly Creek Dr
City
Tyler
State
Texas
Zip
75703-0907
Phone Number
903-617-6606
Fax Number
person
Provider Business Mailing Address Details
Address
1710 Holly Creek Dr
City
Tyler
State
Texas
Zip
75703-0907
Phone Number
903-617-6606
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15485 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1796 (Texas)
Definition
Definition to come...
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