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DIANE MARY PETTKO MS, LCADC
NPI 1942694278
Counselor - Addiction (Substance Use Disorder) in Prince Frederick, MD

Active since March 25, 2015
280 STAFFORD RD, PRINCE FREDERICK, MD 20678(410) 535-3079(410) 535-2220 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Diane Mary Pettko Ms, Lcadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE MARY PETTKO MS, LCADC (NPI 1942694278) is an individual addiction (substance use disorder) provider in Prince Frederick, Maryland and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1942694278
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDIANE MARY PETTKOCredential: MS, LCADC
Location Address280 STAFFORD RDPrince Frederick, MD 20678-3582
Mailing AddressPo Box 1158Prince Frederick, MD 20678-1158 · (410) 535-3079 · Fax (410) 535-2220
Phone(410) 535-3079
Fax(410) 535-2220
Sole ProprietorNo
Enumeration DateMarch 25, 2015
Last NPPES UpdateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1942694278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
280 STAFFORD RD, Prince Frederick, MD 20678
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Other Names 1

Former Name (1)Diane Mary Fauver

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARLYN ROSE OSBORN
Student in an Organized Health Care Education/Training Program
280 STAFFORD RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3079
KATHLEEN ANNE ATKISSON M.A., J.D.
Counselor (Addiction (Substance Use Disorder))
280 STAFFORD RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3079
MRS. ANGELA LYNN GREGORY MS, LCPC, LGADC
Counselor (Addiction (Substance Use Disorder))
280 STAFFORD RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3079
MS. AMY C SIMS MS, LCADC, MAC
Counselor (Addiction (Substance Use Disorder))
280 STAFFORD RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3079
RODNE'T SEWELL
Counselor (Professional)
280 STAFFORD RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3079
MIREILY BURGOS
Student in an Organized Health Care Education/Training Program
280 STAFFORD RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3079
JOLISA WILLS
Counselor (Professional)
280 STAFFORD RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3079
LOMONE JONES WHITE ADT
Counselor (Professional)
280 STAFFORD RD
PRINCE FREDERICK, MD 20678
Calvert County (410) 535-3079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Pettko's NPI number?

The NPI number for Diane Pettko is 1942694278. It was assigned to this individual provider in the NPPES registry on March 25, 2015. The provider is also known as Diane Mary Fauver.

Where is Diane Pettko located?

Diane Pettko practices at 280 Stafford Rd, Prince Frederick, MD 20678. The listed phone number is (410) 535-3079.

What is Diane Pettko's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Diane Pettko was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.