Provider Demographics
NPI:1336905207
Name:PETTY, CHEONA (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:CHEONA
Middle Name:
Last Name:PETTY
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5812 LAMPLIGHTER DR
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-1626
Mailing Address - Country:US
Mailing Address - Phone:412-475-3337
Mailing Address - Fax:
Practice Address - Street 1:5812 LAMPLIGHTER DR
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-1626
Practice Address - Country:US
Practice Address - Phone:412-475-3337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor