person
Mrs. Janet Lee Petty, MA,LPC,CCDP-D
Professional Counselor in Salem, Missouri
NPI 1528361037

Janet Lee Petty is a Professional Counselor based in Salem, MO and is specialized in Professional. Janet Lee Petty practices in Salem, MO and has the professional credentials of MA,LPC,CCDP-D. The NPI Number for Janet Lee Petty is 1528361037 and holds a License No. 3770 (Missouri).

The current practice location address for Janet Lee Petty is 203 N Grand St, Salem, MO and can be reached out via phone at 573-729-4103 and via fax at 573-729-4420.

Location: 203 N Grand St, Salem, MO, 65560-1344
person
Provider Profile Details
NPI Number
1528361037
Provider Name
Janet Lee Petty
Credential
MA,LPC,CCDP-D
Provider Entity Type
Individual
Gender
Female
Address
203 N Grand St, Salem, MO, 65560-1344
Phone Number
573-729-4103
Fax Number
573-729-4420
Provider Enumeration Date
12/06/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2008037617 01 MO DIVISON OF PROFESSIONAL REGISTRATION, COMMITTEE FOR PROFESSIONAL COUNSELORS
institution
Provider Business Practice Location Address Details
Address
203 N Grand St
City
State
Zip
65560-1344
Phone Number
573-729-4103
Fax Number
573-729-4420
person
Provider Business Mailing Address Details
Address
203 N Grand St
City
State
Zip
65560-1344
Phone Number
573-729-4103
Fax Number
573-729-4420
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2008037617 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3770 (Missouri)
Definition
Definition to come...
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