Individual provider · Type 1 NPI

Marques Petty

Mental Health Counselor · Greenville, SC

NPI number 1063020105 Active

Practice location

124 Mallard St
Greenville, SC 29601-4046

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063020105

Marques Petty's National Provider Identifier is 1063020105, issued on Jul 15, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenville, SC. The record was last updated on Jul 15, 2020.