Individual
STEFANIE E. PETYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
432 S MAIN ST STE 200, DAVIDSON, NC 28036-8130
(980) 219-2697
Mailing address
432 S MAIN ST STE 200, DAVIDSON, NC 28036-8130
(980) 219-2697
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1483
NC
106H00000X
Marriage & Family Therapist
7052A
NC
106H00000X
Marriage & Family Therapist
MFT 180
HI
Other
Enumeration date
04/07/2008
Last updated
07/21/2022
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