| Mrs Adrienne Romayne Petty, LPC | |
|
12100 Old Halls Ferry Rd, Black Jack, MO 63033-7112 | |
| (314) 441-6679 | |
| Not Available |
| Full Name | Mrs Adrienne Romayne Petty |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 12100 Old Halls Ferry Rd, Black Jack, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134735665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2017043874 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Adrienne Romayne Petty, LPC 4883 Bristol Rock Rd, Black Jack, MO 63033-7104 Ph: (314) 441-6679 | Mrs Adrienne Romayne Petty, LPC 12100 Old Halls Ferry Rd, Black Jack, MO 63033-7112 Ph: (314) 441-6679 |
Dr. Darryl Eugene Calmese Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 5323 Branridge Rd, Black Jack, MO 63033 Phone: 314-706-5373 | |
Alexis Evans, LPC Counselor Medicare: Medicare Enrolled Practice Location: 12425 Bielefeld Ln, Black Jack, MO 63033 Phone: 314-458-4016 |