Organization · Type 2 NPI

Quinnise Pettway, Lpc, NCC

Professional Counselor · Roswell, GA

NPI number 1144512591 Active

Practice location

490 Sun Valley Dr, Suite 205
Roswell, GA 30076-5615

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC006121 (GA)

Professional Counselor: Definition to come...

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About NPI 1144512591

Quinnise Pettway, Lpc, NCC's National Provider Identifier is 1144512591, issued on May 4, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roswell, GA. The record was last updated on May 4, 2011.