Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ADRIENNE ROMAYNE PETTY, LPC
Active Sole ProprietorMRS. ADRIENNE ROMAYNE PETTY, LPC is a Professional Counselor healthcare provider located in BLACK JACK, Missouri. NPI 1134735665 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BLACK JACK, MO
Registration Details
- NPI Number
- 1134735665
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2020 (5.8885453252071 yrs)
- Last Updated
- Nov 27, 2023
- License
-
2017043874 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12100 OLD HALLS FERRY RDBLACK JACK, MO, 630337112Browse MO providers · Browse ZIP 63033
- Phone
- 3144416679
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.