Individual provider · Type 1 NPI

Joel D. Petty

Mental Health Counselor · Baraboo, WI

NPI number 1639212467 Active

Practice location

505 Broadway St
Baraboo, WI 53913-2183

Call (608) 355-4210 Map

Mailing address

329 2nd Ave
Baraboo, WI 53913-2459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639212467

Joel D. Petty's National Provider Identifier is 1639212467, issued on Feb 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baraboo, WI. The record was last updated on Sep 11, 2025.