Individual
REBECCA CAROLINE PETTEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1117 KIRKMAN ST, LAKE CHARLES, LA 70601-5317
(337) 414-8379
Mailing address
1514 N COVEY LN, LAKE CHARLES, LA 70605-1316
(337) 429-1233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC10015
LA
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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