MRS. Janet Lee Petty, MA, LPC, CCDP-D

NPI #1528361037 in Salem, Missouri

Provider Information

NPI Number: 1528361037
Entity Type: Individual
Name: MRS. Janet Lee Petty, MA, LPC, CCDP-D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MA, LPC, CCDP-D
Enumeration Date: Dec 6, 2010
Last Updated: Sep 18, 2017

Practice Location

Address: 203 N GRAND ST
City: Salem
State: Missouri
ZIP Code: 65560-1344
Phone: (573) 729-4103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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