Individual
TRISTAN K PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
607 W DUE WEST AVE STE 106, MADISON, TN 37115-4420
(615) 964-7113
Mailing address
607 W DUE WEST AVE STE 106, MADISON, TN 37115-4420
(615) 964-7113
(615) 928-8482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3077
TN
Other
Enumeration date
05/13/2014
Last updated
01/16/2020
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