Individual
ANNA MARIE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 JUNCTION HWY STE 252, KERRVILLE, TX 78028-4203
(830) 739-0927
Mailing address
301 JUNCTION HWY STE 252, KERRVILLE, TX 78028-4203
(830) 739-0927
(830) 864-5441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
16230
TX
101YP2500X
Professional Counselor
Primary
16230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283012-01
—
TX
Enumeration date
10/28/2008
Last updated
10/13/2023
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