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Individual
MS. TERRI L. PETTY
Active
Individual
MS. TERRI L. PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P9807015
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
01
—
2159301
CIGNA BEHAVIORAL HEALTH
AR
01
—
216631
MHN NETWORK
AR
01
—
222090
UNITED BEHAVIORAL HEALTH
AR
01
—
3070018000
QUAL-CHOICE
AR
01
—
3509001000
MAGELLAN
AR
01
—
562340
VALUE OPTIONS
AR
01
—
5X327
BLUE CROSS/BLUE SHIELD
AR
01
—
60054
AETNA
AR
01
—
71-0401764
CORPHEALTH
AR
Enumeration date
12/30/2005
Last updated
07/05/2018
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