Individual
MRS. CAROLYN MARIE PETTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
411 W PINE ST, MAHANOY CITY, PA 17948-2515
(570) 875-7622
(570) 773-1103
Mailing address
411 W PINE ST, MAHANOY CITY, PA 17948-2515
(570) 875-7622
(570) 462-1042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10447
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10447
PA
Other
Enumeration date
12/03/2017
Last updated
10/17/2025
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