Quinnise Pettway LPC, NCC

NPI 1144512013 - Counselor - 101YP2500X

NPI Details
NPI 1144512013
Gender Female
Enumeration Date 05/10/2011
Last Updated 02/18/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
10 PARK PLACE SOUTH SE
ATLANTA GA, 30303-2913, US
Phone (404) 616-6287
Fax
Business Location
10 PARK PLACE
GRADY BEHAVIORAL HEALTH CENTER
ATLANTA GA, 30303-2913, US
Phone (404) 616-6287
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number LPC06121
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According to our database, Quinnise Pettway LPC, NCC NPI is 1144512013, taxonomy code is 101YP2500X and license number is LPC06121, license state is located at Georgia. Quinnise Pettway LPC, NCC physically located at 10 Park Place South Se, Atlanta GA, 30303-2913. NPI Number Quinnise Pettway LPC, NCC has the Individual type.

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1144512013 NPI number is provided on an as is basis without warranty of any kind. 1144512013 is maintained by the National Plan & Provider Enumeration System. The contents of Quinnise Pettway LPC, NCC are for informational purposes only.