Individual provider · Type 1 NPI

Jacquelyn Petty, LPC

Professional Counselor · Sanford, NC

NPI number 1053466870 Active

Practice location

130 Carbonton Rd
Sanford, NC 27330-4009

Mailing address

2234 Walter Bright Rd
Sanford, NC 27330-0341

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4807 (NC)

Professional Counselor: Definition to come...

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About NPI 1053466870

Jacquelyn Petty, LPC's National Provider Identifier is 1053466870, issued on Jan 24, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sanford, NC. The record was last updated on Aug 1, 2013.