Individual
BRENT PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W HAWKINS PKWY, LONGVIEW, TX 75605-1816
(903) 746-8389
Mailing address
220 GARRETT RD, LONGVIEW, TX 75603-6667
(903) 746-8389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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