Individual
JERRI L PEDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
135 W MAIN ST STE P, ASPEN, CO 81611-1700
(817) 925-9462
Mailing address
7833 OAKMONT BLVD, FORT WORTH, TX 76132-4231
(817) 665-0583
(817) 370-8977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
209525 CERTIFICATIO
NC
101YM0800X
Mental Health Counselor
Primary
0015180
CO
101YP2500X
Professional Counselor
62483
TX
Other
Enumeration date
05/22/2009
Last updated
01/19/2020
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