Individual
MS. COURTNEY LESLIE PETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAGS, LMHC, DCH
Contact information
Practice address
55 CEDAR ST, WORCESTER, MA 01609-4101
(508) 826-6433
Mailing address
46 WINNECONNETT RD, WORCESTER, MA 01605-2370
(508) 826-6433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3739
MA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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