person
Diane Mary Pettko, MS,LCADC
Addiction (Substance Use Disorder) Counselor in Prince Frederick, Maryland
NPI 1942694278

Diane Mary Pettko is an Addiction (Substance Use Disorder) Counselor based in Prince Frederick, MD and is specialized in Addiction (Substance Use Disorder). Diane Mary Pettko practices in Prince Frederick, MD and has the professional credentials of MS,LCADC. The NPI Number for Diane Mary Pettko is 1942694278 and holds a License No. (Maryland).

The current practice location address for Diane Mary Pettko is 280 Stafford Rd, Prince Frederick, MD and can be reached out via phone at 410-535-3079 and via fax at 410-535-2220.

Location: 280 Stafford Rd, Prince Frederick, MD, 20678-1158
person
Provider Profile Details
NPI Number
1942694278
Provider Name
Diane Mary Pettko
Credential
MS,LCADC
Provider Entity Type
Individual
Gender
Female
Address
280 Stafford Rd, Prince Frederick, MD, 20678-1158
Phone Number
410-535-3079
Fax Number
410-535-2220
Provider Enumeration Date
03/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
280 Stafford Rd
City
State
Zip
20678-3582
Phone Number
410-535-3079
Fax Number
410-535-2220
person
Provider Business Mailing Address Details
Address
280 Stafford Rd
City
State
Zip
20678-3582
Phone Number
410-535-3079
Fax Number
410-535-2220
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...
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