Individual provider · Type 1 NPI

Guretha Pettway

Professional Counselor · Trumbull, CT

NPI number 1336855766 Active

Practice location

100 Hawley Ln Unit 4044
Trumbull, CT 06611-5330

Call (203) 917-7715 Map

Mailing address

1744 Dixwell Ave Unit 4044
Hamden, CT 06514-7702

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1336855766

Guretha Pettway's National Provider Identifier is 1336855766, issued on Jan 30, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Trumbull, CT. The record was last updated on Jan 30, 2023.