Individual provider · Type 1 NPI

Quinnise Pettway, LPC

Professional Counselor · Atlanta, GA

NPI number 1144512013 Active

Practice location

10 Park Place South SE
Atlanta, GA 30303-2913

Mailing address

10 Park Place, Grady Behavioral Health Center
Atlanta, GA 30303-2913

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC06121 (GA)

Professional Counselor: Definition to come...

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About NPI 1144512013

Quinnise Pettway, LPC's National Provider Identifier is 1144512013, issued on May 10, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Feb 18, 2016.