person
Ethan David Pettyjohn, LPC
Professional Counselor in Portland, Oregon
NPI 1619452307

Ethan David Pettyjohn is a Professional Counselor based in Beaverton, OR and is specialized in Professional. Ethan David Pettyjohn practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Ethan David Pettyjohn is 1619452307 and holds a License No. C7752 (Oregon).

The current practice location address for Ethan David Pettyjohn is 9755 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-444-4862.

Location: 9755 Sw Barnes Rd, Portland, OR, 97005-3187
person
Provider Profile Details
NPI Number
1619452307
Provider Name
Ethan David Pettyjohn
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
9755 Sw Barnes Rd, Portland, OR, 97005-3187
Phone Number
503-444-4862
Fax Number
Provider Enumeration Date
09/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9755 Sw Barnes Rd
City
State
Zip
97225-6651
Phone Number
503-444-4862
Fax Number
person
Provider Business Mailing Address Details
Address
9755 Sw Barnes Rd
City
State
Zip
97225-6651
Phone Number
503-444-4862
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C7752 (Oregon)
Definition
Definition to come...
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