| Doctor Name: | MS. CYNTHIA A PETELLE |
| NPI Number: | 1366725426 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S, LMHC |
| License Number: | 4799 |
| Business Practice Address: | 370 Main St Unit 6 Townsend, MA - 014741052 |
| Business Phone Number: | 9783000835 |
| Business Fax Number: | |
| Mailing Address: | 370 Main St, Unit 6 TOWNSEND |
| State: | MA |
| Postal Code: | 014741052 |
| Phone Number: | 9783000835 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2011 |
| NPI Last Update Date: | 02/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |