Individual
ADAM J PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1825 E NORTHERN AVE STE 215, PHOENIX, AZ 85020-3940
(480) 360-5484
Mailing address
2618 E GENEVA DR, TEMPE, AZ 85282-4152
(480) 382-3124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16151
AZ
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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