Individual provider · Type 1 NPI
Mya Petchark, LADC
Addiction (Substance Use Disorder) Counselor · New London, CT
NPI number
1144069840
Active
Practice location
931 Bank St
New London, CT 06320-2702
Mailing address
359 Long Hill Rd Apt 22
Groton, CT 06340-3842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1565 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
5 other providers at this address
- Annette Lickwola, LADCAddiction (Substance Use Disorder) Counselor New London, CT NPI 1093557050
- Barbara A. Gotay Matthew, LADCAddiction (Substance Use Disorder) Counselor New London, CT NPI 1730421793
- Breanna Bohle, LCSWSocial Worker New London, CT NPI 1215771936
- Marie Vargo, LCSWClinical Social Worker New London, CT NPI 1295400562
- Sara Cyr, LCSWClinical Social Worker New London, CT NPI 1629878780
Other addiction (substance use disorder) counselor providers in New London
- Annette Lickwola, LADCAddiction (Substance Use Disorder) Counselor New London, CT NPI 1093557050
- Emmanuelle Saint Merant, LPCA, LADCAddiction (Substance Use Disorder) Counselor New London, CT NPI 1194612507
- Donna Elizabeth Medina, LADCAddiction (Substance Use Disorder) Counselor New London, CT NPI 1275007353
- George McGwaine Walker, PhD, LPC, NCCAddiction (Substance Use Disorder) Counselor New London, CT NPI 1275899692
- John T. Gilleese Iii, LADCAddiction (Substance Use Disorder) Counselor New London, CT NPI 1437975273
- Veronica SullivanAddiction (Substance Use Disorder) Counselor New London, CT NPI 1548949258
- Lindsay Lee Helfrich, LADCAddiction (Substance Use Disorder) Counselor New London, CT NPI 1609695915
- Kathleen Ellis, PhD, LADC, LPCAddiction (Substance Use Disorder) Counselor New London, CT NPI 1679902316
About NPI 1144069840
Mya Petchark, LADC's National Provider Identifier is 1144069840, issued on May 22, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New London, CT. The record was last updated on May 22, 2024.