Individual
SAMANTHA PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4032 J RENDON RD, BURLESON, TX 76028-3679
(214) 801-5220
Mailing address
4032 J RENDON RD, BURLESON, TX 76028-3679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
67947
TX
Other
Enumeration date
07/05/2012
Last updated
01/13/2015
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