Provider Demographics
NPI:1679035372
Name:PEDRON, BRITNEY LEE (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:BRITNEY
Middle Name:LEE
Last Name:PEDRON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:LEE
Other - Last Name:DE LA FUENTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3024 ALTMAN DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-4229
Mailing Address - Country:US
Mailing Address - Phone:469-704-9522
Mailing Address - Fax:
Practice Address - Street 1:3024 ALTMAN DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4229
Practice Address - Country:US
Practice Address - Phone:469-704-9522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX226612164X00000X
TX85077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No164X00000XNursing Service ProvidersLicensed Vocational Nurse