Individual
ANDREA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1512 SCRIPTURE ST, DENTON, TX 76201-3916
(800) 897-7068
Mailing address
2808 SADDLE DR, DENTON, TX 76210-0573
(936) 404-9586
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
70755
TX
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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