MISS Mya Petchark, LADC

NPI #1144069840 in New London, Connecticut

Provider Information

NPI Number
1144069840
Entity Type
Individual
Name
MISS Mya Petchark, LADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
May 22, 2024
Last Updated
May 22, 2024

Practice Location

Address
931 BANK ST
ZIP Code
06320-2702
Phone
(860) 574-8252

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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