person
Joel D Petty
Mental Health Counselor in Baraboo, Wisconsin
NPI 1639212467

Joel D Petty is a Mental Health Counselor based in Baraboo, WI and is specialized in Mental Health. Joel D Petty practices in Baraboo, WI. The NPI Number for Joel D Petty is 1639212467 and holds a License No. (Wisconsin).

The current practice location address for Joel D Petty is 505 Broadway St, Baraboo, WI and can be reached out via phone at 608-355-4210.

Location: 505 Broadway St, Baraboo, WI, 53913-2459
person
Provider Profile Details
NPI Number
1639212467
Provider Name
Joel D Petty
Credential
Provider Entity Type
Individual
Gender
Male
Address
505 Broadway St, Baraboo, WI, 53913-2459
Phone Number
608-355-4210
Fax Number
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1025011 01 WI PHYSICIANS PLUS
11991 01 WI DEAN HEALTH PLAN
39600574011 01 WI UNITY HEALTH INSURANCE
39784200 05 WI
institution
Provider Business Practice Location Address Details
Address
505 Broadway St
City
State
Zip
53913-2183
Phone Number
608-355-4210
Fax Number
person
Provider Business Mailing Address Details
Address
505 Broadway St
City
State
Zip
53913-2183
Phone Number
608-355-4210
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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