Petty, Ann Marie

Petty, Ann Marie is an sole proprietor health care provider with primary practice located at 1200 W State St , Rockford IL 61102-2112. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Petty, Ann Marie can be contacted via phone (815) 490-1600.

Contact Information

Primary practice address
1200 W State St Rockford IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18135 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149009048 Illinois

Profile Details

NPI number 1770991820
LBN Legal business name Petty, Ann Marie
Credentials LCSW,CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2014
Last updated Mar 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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