KELLY PETACCIO, MS LPC CPCS
Counselor - Mental Health
Active
Individual
NPI: 1669751160
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | LPC008109 (GA) |
Frequently Asked Questions
NPI 1669751160 is the National Provider Identifier for KELLY PETACCIO, MS LPC CPCS, a Counselor - Mental Health provider located in Peachtree City, GA. This NPI was enumerated on August 15, 2011.
KELLY PETACCIO, MS LPC CPCS practices at 130 GOVERNORS SQ STE B, Peachtree City, GA 30269.
Quick Facts
- NPI
- 1669751160
- Type
- Individual
- Enumerated
- Aug 15, 2011
- Last Updated
- Jan 27, 2020
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