Individual provider · Type 1 NPI

Adam J. Petty, LAC

Mental Health Counselor · Phoenix, AZ

NPI number 1003332578 Active

Practice location

1825 E Northern Ave Ste 215
Phoenix, AZ 85020-3940

Call (480) 360-5484 Map

Mailing address

2618 E Geneva Dr
Tempe, AZ 85282-4152

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-16151 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1003332578

Adam J. Petty, LAC's National Provider Identifier is 1003332578, issued on Aug 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 16, 2017.