Individual
RITA LYNN PETTIT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
182 WEST COURT ST, RUTHERFORDTON, NC 28139
(828) 287-7806
Mailing address
PO BOX 878, RUTHERFORDTON, NC 28139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1879
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046FU
BCBS
—
05
—
6107366
—
NC
Enumeration date
06/13/2006
Last updated
07/08/2007
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