Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Mya Petchark, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1144069840

Miss. Mya Petchark, LADC is an Addiction (Substance Use Disorder) Counselor in New London, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2024
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

931 Bank St
New London, CT 06320-2702
Phone: (860) 574-8252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1565 (CT)

Record details

NPI number1144069840
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorYes
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

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