Individual
MS. ASHLEY LYNN PETTINATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
198 POPLAR RD, MIDDLETOWN, CT 06457-7931
(860) 538-3311
Mailing address
198 POPLAR RD, MIDDLETOWN, CT 06457-7931
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004739
CT
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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