Individual
MRS. KATIE PETTETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
1604 N WASHINGTON AVE, DURANT, OK 74701
(580) 920-0909
Mailing address
1604 N WASHINGTON AVE, DURANT, OK 74701
(580) 920-0909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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