Mrs Carolyn Marie Petterson, AAC - Counselor in Shenandoah, PA

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Mrs Carolyn Marie Petterson, AAC is a Counselor - Addiction (substance Use Disorder) based in Shenandoah, Pennsylvania. Mrs Carolyn Marie Petterson is licensed to practice in Pennsylvania (license number 10447) and her current practice location is 1 S Main St, Shenandoah, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (570) 462-1040.

NPI number for Mrs Carolyn Marie Petterson is 1699280479 and her current mailing address is 411 W Pine St, Mahanoy City, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699280479.

Contact Information

Mrs Carolyn Marie Petterson, AAC
1 S Main St,
Shenandoah, PA 17976-2332
(570) 462-1040
(570) 462-1040

Map and Direction


Healthcare Provider's Profile

Full NameMrs Carolyn Marie Petterson
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1 S Main St, Shenandoah, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699280479
  • Provider Enumeration Date: 12/03/2017
  • Last Update Date: 08/16/2021

Medical Identifiers

Medical identifiers for Mrs Carolyn Marie Petterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699280479NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 10447 (Pennsylvania)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 10447 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Carolyn Marie Petterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Carolyn Marie Petterson, AAC
411 W Pine St,
Mahanoy City, PA 17948-2515

Ph: (570) 875-7622		Mrs Carolyn Marie Petterson, AAC
1 S Main St,
Shenandoah, PA 17976-2332

Ph: (570) 462-1040

Reviews and Comments


Counselor in Shenandoah, PA

Kara Lin Heitzman,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 106 W Coal St, Shenandoah, PA 17976
Phone: 570-294-9436    

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