person
Kelly Rebecca Petaccio, MSLPCCPCS
Mental Health Counselor in Peachtree City, Georgia
NPI 1669751160

Kelly Rebecca Petaccio is a Mental Health Counselor based in Peachtree City, GA and is specialized in Mental Health. Kelly Rebecca Petaccio practices in Peachtree City, GA and has the professional credentials of MSLPCCPCS. The NPI Number for Kelly Rebecca Petaccio is 1669751160 and holds a License No. (Georgia).

The current practice location address for Kelly Rebecca Petaccio is 130 Governors Sq Ste B, Peachtree City, GA and can be reached out via phone at 770-519-2743.

Location: 130 Governors Sq Ste B, Peachtree City, GA, 30269-4862
person
Provider Profile Details
NPI Number
1669751160
Provider Name
Kelly Rebecca Petaccio
Credential
MSLPCCPCS
Provider Entity Type
Individual
Gender
Female
Address
130 Governors Sq Ste B, Peachtree City, GA, 30269-4862
Phone Number
770-519-2743
Fax Number
Provider Enumeration Date
08/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457876906 01 GA THE CENTER FOR LIVING BALANCE
institution
Provider Business Practice Location Address Details
Address
130 Governors Sq Ste B
City
State
Zip
30269-4862
Phone Number
770-519-2743
Fax Number
person
Provider Business Mailing Address Details
Address
130 Governors Sq Ste B
City
State
Zip
30269-4862
Phone Number
770-519-2743
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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