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Mrs. Carolyn Marie Petterson, AAC
Addiction (Substance Use Disorder) Counselor in Shenandoah, Pennsylvania
NPI 1699280479

Carolyn Marie Petterson is an Addiction (Substance Use Disorder) Counselor based in Mahanoy City, PA and is specialized in Addiction (Substance Use Disorder). Carolyn Marie Petterson practices in Shenandoah, PA and has the professional credentials of AAC. The NPI Number for Carolyn Marie Petterson is 1699280479 and holds a License No. 10447 (Pennsylvania).

The current practice location address for Carolyn Marie Petterson is 1 S Main St, Shenandoah, PA and can be reached out via phone at 570-462-1040 and via fax at 570-462-1040.

Location: 1 S Main St, Shenandoah, PA, 17948-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699280479
Provider Name
Carolyn Marie Petterson
Credential
AAC
Provider Entity Type
Individual
Gender
Female
Address
1 S Main St, Shenandoah, PA, 17948-2515
Phone Number
570-462-1040
Fax Number
570-462-1040
Provider Enumeration Date
12/03/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 S Main St
City
Shenandoah
State
Pennsylvania
Zip
17976-2332
Phone Number
570-462-1040
Fax Number
570-462-1040
person
Provider Business Mailing Address Details
Address
1 S Main St
City
Shenandoah
State
Pennsylvania
Zip
17976-2332
Phone Number
570-462-1040
Fax Number
570-462-1040
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
10447 (Pennsylvania)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
10447 (Pennsylvania)
Definition
Definition to come...
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