Quinnise Pettway, Lpc, Ncc

NPI 1144512591 - Counselor - 101YP2500X

NPI Details
NPI 1144512591
Enumeration Date 05/04/2011
Last Updated 05/04/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name QUINNISE QUINNISE
Position OWNER/PRESIDENT
Phone (770) 642-4236
Fax
Practice Location
490 SUN VALLEY DR
SUITE 205
ROSWELL GA, 30076-5615, US
Phone (770) 642-4236
Fax
Business Location
490 SUN VALLEY DR
SUITE 205
ROSWELL GA, 30076-5615, US
Phone (770) 642-4236
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number LPC006121
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According to our database, Quinnise Pettway, Lpc, Ncc NPI is 1144512591, taxonomy code is 101YP2500X and license number is LPC006121, license state is located at Georgia. Quinnise Pettway, Lpc, Ncc physically located at 490 Sun Valley Dr, Roswell GA, 30076-5615. NPI Number 1033115704 has the healthcare provider type.

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1144512591 NPI number is provided on an as is basis without warranty of any kind. 1144512591 is maintained by the National Plan & Provider Enumeration System. The contents of Quinnise Pettway, Lpc, Ncc are for informational purposes only.