Catherine Elizabeth Pettus, LCSW
Social Worker, Clinical in Bryant, AR. Individual provider (NPI-1).
NPI number1568763530
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1568763530
- Entity type
- Individual (NPI-1)
- Name
- Catherine Elizabeth Pettus
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2010
- Certification date
- Sep 6, 2023
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 3194-C | AR | Yes |
Practice location
3005 Corporate CtrBryant, AR 72022-9252
Phone 501-512-2080
Mailing address
3005 Corporate CtrBryant, AR 72022-9252
Phone 501-512-2080
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