Individual
MR. KENNETH PACETTI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, LCDC
Contact information
Practice address
1019 ASHLAND ST, HOUSTON, TX 77008-6735
(713) 568-1210
Mailing address
1019 ASHLAND ST, HOUSTON, TX 77008-6735
(713) 568-1210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13286
LCDC
TX
Enumeration date
03/30/2016
Last updated
03/30/2016
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