Individual provider · Type 1 NPI

Raymond Richard Pettis, MS, LMHC

Mental Health Counselor · Waterloo, NY

NPI number 1073620753 Active

Practice location

31 Thurber Dr
Waterloo, NY 13165-1600

Fax (315) 539-1054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001185 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1073620753

Raymond Richard Pettis, MS, LMHC's National Provider Identifier is 1073620753, issued on Aug 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterloo, NY. The record was last updated on Jul 8, 2007.