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

Mrs. Carolyn Marie Petterson, AAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1699280479

Mrs. Carolyn Marie Petterson, AAC is an Addiction (Substance Use Disorder) Counselor in Mahanoy City, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

411 W Pine St
Mahanoy City, PA 17948-2515
Phone: (570) 875-7622
Fax: (570) 773-1103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 10447 (PA)
Counselor Taxonomy 101Y00000X · Licence 10447 (PA)

Record details

NPI number1699280479
Entity typeIndividual (Type 1)
GenderFemale
Credentials AAC
Sole proprietorNo
NPI enumeratedDecember 3, 2017
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025