Individual
ALEXANDER MOORE PETTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCMHCA, NCC
Contact information
Practice address
3080 BLUEBIRD LN APT 307, MEBANE, NC 27302-9936
(919) 391-8040
Mailing address
3080 BLUEBIRD LN APT 307, MEBANE, NC 27302-9936
(919) 391-8040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21400
NC
Other
Enumeration date
02/28/2025
Last updated
05/25/2025
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