Individual
CARMON PETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 14TH ST, SIOUX CITY, IA 51105-1207
(712) 252-7170
Mailing address
520 14TH ST, SIOUX CITY, IA 51105-1207
(712) 252-7170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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