Individual
MR. PATRICK ANTHONY TETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
630 W KEARNEY ST, SPRINGFIELD, MO 65803-2508
(417) 761-5900
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013042527
MO
Other
Enumeration date
12/04/2013
Last updated
05/11/2026
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