Individual provider · Type 1 NPI
Carolyn Marie Petterson, AAC
Addiction (Substance Use Disorder) Counselor · Mahanoy City, PA
NPI number
1699280479
Active
Practice location
411 W Pine St
Mahanoy City, PA 17948-2515
Fax (570) 773-1103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10447 (PA) |
| Counselor | 101Y00000X | 10447 (PA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
About NPI 1699280479
Carolyn Marie Petterson, AAC's National Provider Identifier is 1699280479, issued on Dec 3, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mahanoy City, PA. The record was last updated on Oct 17, 2025.