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Matthew Scott Pettinga, MA,LPC
Counselor in Grand Rapids, Michigan
NPI 1124533757

Matthew Scott Pettinga is a Counselor based in Grand Rapids, MI. Matthew Scott Pettinga practices in Grand Rapids, MI and has the professional credentials of MA,LPC. The NPI Number for Matthew Scott Pettinga is 1124533757 and holds a License No. 6401015324 (Michigan).

The current practice location address for Matthew Scott Pettinga is 5557 28Th St Se Ste B, Grand Rapids, MI and can be reached out via phone at 616-303-4599.

Location: 5557 28Th St Se Ste B, Grand Rapids, MI, 49512-2035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124533757
Provider Name
Matthew Scott Pettinga
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
5557 28Th St Se Ste B, Grand Rapids, MI, 49512-2035
Phone Number
616-303-4599
Fax Number
Provider Enumeration Date
12/05/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5557 28Th St Se Ste B
City
Grand Rapids
State
Michigan
Zip
49512-2035
Phone Number
616-303-4599
Fax Number
person
Provider Business Mailing Address Details
Address
5557 28Th St Se Ste B
City
Grand Rapids
State
Michigan
Zip
49512-2035
Phone Number
616-303-4599
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6401015324 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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