Individual
MRS. JOYCE H PELLETUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICIAL COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1514
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038036
ANTHEM BLUE CROSS
ME
Enumeration date
08/23/2006
Last updated
07/08/2007
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