Individual provider · Type 1 NPI
Adrienne Romayne Petty, LPC
Professional Counselor · Black Jack, MO
NPI number
1134735665
Active
Practice location
12100 Old Halls Ferry Rd
Black Jack, MO 63033-7112
Mailing address
4883 Bristol Rock Rd
Black Jack, MO 63033-7104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2017043874 (MO) |
Professional Counselor: Definition to come...
Another provider at this address
About NPI 1134735665
Adrienne Romayne Petty, LPC's National Provider Identifier is 1134735665, issued on Sep 21, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Black Jack, MO. The record was last updated on Nov 27, 2023.