Individual
ASHLEY R PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
100 COULEE SHORE DR, LAFAYETTE, LA 70503-3021
(337) 519-3496
Mailing address
144 MATHEWS BLVD, LAFAYETTE, LA 70508-5726
(337) 519-3496
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7714
LA
Other
Enumeration date
01/30/2019
Last updated
05/01/2024
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