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Jennifer Pruitt, LPC
Mental Health Counselor in Southlake, Texas
NPI 1962907329

Jennifer Pruitt is a Mental Health Counselor based in Argyle, TX and is specialized in Mental Health. Jennifer Pruitt practices in Southlake, TX and has the professional credentials of LPC. The NPI Number for Jennifer Pruitt is 1962907329 and holds a License No. (Texas).

The current practice location address for Jennifer Pruitt is 630 E Southlake Blvd Ste 112, Southlake, TX and can be reached out via phone at 214-494-6287.

Location: 630 E Southlake Blvd Ste 112, Southlake, TX, 76226-1517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962907329
Provider Name
Jennifer Pruitt
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
630 E Southlake Blvd Ste 112, Southlake, TX, 76226-1517
Phone Number
214-494-6287
Fax Number
Provider Enumeration Date
03/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74770 01 TX TEXAS STATE BOARD OF EXAMINERS
institution
Provider Business Practice Location Address Details
Address
630 E Southlake Blvd Ste 112
City
Southlake
State
Texas
Zip
76092-6259
Phone Number
214-494-6287
Fax Number
person
Provider Business Mailing Address Details
Address
630 E Southlake Blvd Ste 112
City
Southlake
State
Texas
Zip
76092-6259
Phone Number
214-494-6287
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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