person
Ms. Carol Petok, PHD,LCPC
Professional Counselor in Easton, Maryland
NPI 1891952339

Carol Petok is a Professional Counselor based in Easton, MD and is specialized in Professional. Carol Petok practices in Easton, MD and has the professional credentials of PHD,LCPC. The NPI Number for Carol Petok is 1891952339 and holds a License No. LC2728 (Maryland).

The current practice location address for Carol Petok is 770 Port St, Easton, MD and can be reached out via phone at 410-819-3395 and via fax at 410-770-5813.

Location: 770 Port St, Easton, MD, 21601-4351
person
Provider Profile Details
NPI Number
1891952339
Provider Name
Carol Petok
Credential
PHD,LCPC
Provider Entity Type
Individual
Gender
Female
Address
770 Port St, Easton, MD, 21601-4351
Phone Number
410-819-3395
Fax Number
410-770-5813
Provider Enumeration Date
05/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
774800100 05 MD
institution
Provider Business Practice Location Address Details
Address
770 Port St
City
State
Zip
21601-8102
Phone Number
410-819-3395
Fax Number
410-770-5813
person
Provider Business Mailing Address Details
Address
770 Port St
City
State
Zip
21601-8102
Phone Number
410-819-3395
Fax Number
410-770-5813
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC2728 (Maryland)
Definition
Definition to come...
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