MS. Michelle L Petty, MS, LCPC, NCC

NPI #1598030801 in Roscoe, Illinois

Provider Information

NPI Number: 1598030801
Entity Type: Individual
Name: MS. Michelle L Petty, MS, LCPC, NCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MS, LCPC, NCC
Enumeration Date: Mar 20, 2012
Last Updated: Jan 15, 2015

Practice Location

Address: 11447 2ND ST
City: Roscoe
State: Illinois
ZIP Code: 61073-9522
Phone: (815) 979-1085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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