Wesley Ryan Pruitt
Counselor, Mental Health in Denver, CO. Individual provider (NPI-1).
NPI number1174088769
StatusActive
Last updated in NPPESFeb 7, 2019
Details
- NPI
- 1174088769
- Entity type
- Individual (NPI-1)
- Name
- Wesley Ryan Pruitt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2019
- Last updated
- Feb 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LPC.0014168 | CO | Yes |
Practice location
1735 Pontiac StDenver, CO 80220-1831
Phone 405-413-7119
Mailing address
1735 Pontiac StDenver, CO 80220-1831
Phone 405-413-7119
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