Individual provider · Type 1 NPI
Mariah Delayna Pettry, B.S.
Addiction (Substance Use Disorder) Counselor · Charleston, WV
NPI number
1932021367
Active
Practice location
2157 Greenbrier St
Charleston, WV 25311-9623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1932021367
Mariah Delayna Pettry, B.S.'s National Provider Identifier is 1932021367, issued on Jul 28, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charleston, WV. The record was last updated on Jul 28, 2026.