Individual
MR. CARLTON PRIDGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8708 FREESTONE DR, BULLARD, TX 75757-5160
(903) 571-4842
Mailing address
8708 FREESTONE DR, BULLARD, TX 75757-5160
(903) 571-4842
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
83760
TX
101YM0800X
Mental Health Counselor
Primary
83760
TX
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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