Female

Rebecca M. Petty MA INTERN

Mental Health Counselor in Burlington, WA(View on Map)

Full Name

Rebecca Marie Petty MA INTERN

NPI Number

1518384148

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/20/2014

Specialties

(Taxonomies)

Code

101YM0800X
101Y00000X

Primary Taxonomy

Yes
No

Licenses

State

Washington

License Number

60583009

Contact
Information

Purpose

Mailing
Location

Address

1133 RAILROAD AVE
614 PETERSON RD

City

Bellingham
Burlington

State

WA
WA

Postal Code

98225-5055
98233-2606

Country

US
US

Telephone Number

(360) 676-2164
(360) 676-2164

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/05/2020

Provider Address

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