MS. RACHEL B PETTYS


Address: 2605 Circle Drive, Jamestown, ND 58401-2968
Phone: 7012533206

MS. RACHEL B PETTYS (NPI# 1902053895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902053895
Entity Type Individual
Full Name MS. RACHEL B PETTYS
Credential LAC
Practice Address 2605 Circle Drive
Jamestown
ND 58401-2968
Mailing Address 2605 Circle Dr
Jamestown
ND 58401-6905
Practice Telephone 7012533206
Practice Fax Number 7012533748
Mailing Telephone 7012533206
Mailing Fax Number 7012533748
Enumeration Date 2008-08-21
Last Update Date 2016-08-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1582 ND Behavioral Health & Social Service Providers

Office Location

Street Address 2605 CIRCLE DRIVE
City JAMESTOWN
State ND
Zip Code 58401-2968

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194359299 Maretta Garner Counselor 45 Dixon Rd, Jamestown, KY 42629-6615 2020-02-27
1902457682 Keyana Tanie Jordan Counselor 4508 Crowne Lake Cir Apt 1d, Jamestown, NC 27282-7921 2019-09-24
1730687104 A Silverlining Counseling, Inc. Counselor 3636 Pickett Park Hwy, Jamestown, TN 38556-5881 2018-01-31
1063922763 Darin Mark Hassel Counselor 300 2nd Ave Ne Ste 221, Jamestown, ND 58401-3373 2017-10-07
1518327162 Emmalee P Sherrod Counselor 3346 Cherrybrook Dr, Jamestown, NC 27282-7782 2016-02-24
1497152227 Dirk Nuttle Counselor 6324 Stonewick Dr, Jamestown, NC 27282-8516 2014-11-21
1952738205 John Chancellor Williams Counselor 725 W Main St Ste B, Jamestown, NC 27282-7507 2013-10-02
1407008360 Jacob Dale Reinarts Counselor 2504 Circle Dr # 58401, Jamestown, ND 58401 2008-10-22
1952428773 Mark Walter Mcgroary Counselor 303 Oakdale Rd, Jamestown, NC 27282-9257 2007-03-25
1679689954 Nancy Ann Exner Counselor 8980 38th St Se, Jamestown, ND 58401-9709 2006-08-21
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Competitor

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City JAMESTOWN
Zip Code 58401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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