person
Michelle Margaret Pettengill, BA,CADC
Addiction (Substance Use Disorder) Counselor in Centerville, Iowa
NPI 1639307077

Michelle Margaret Pettengill is an Addiction (Substance Use Disorder) Counselor based in Centerville, IA and is specialized in Addiction (Substance Use Disorder). Michelle Margaret Pettengill practices in Centerville, IA and has the professional credentials of BA,CADC. The NPI Number for Michelle Margaret Pettengill is 1639307077 and holds a License No. 09066 (Iowa).

The current practice location address for Michelle Margaret Pettengill is 221 E State St, Centerville, IA and can be reached out via phone at 641-856-6471 and via fax at 641-856-2779.

Location: 221 E State St, Centerville, IA, 52544-1813
person
Provider Profile Details
NPI Number
1639307077
Provider Name
Michelle Margaret Pettengill
Credential
BA,CADC
Provider Entity Type
Individual
Gender
Female
Address
221 E State St, Centerville, IA, 52544-1813
Phone Number
641-856-6471
Fax Number
641-856-2779
Provider Enumeration Date
06/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09066 01 IA CADC
institution
Provider Business Practice Location Address Details
Address
221 E State St
City
State
Zip
52544-1813
Phone Number
641-856-6471
Fax Number
641-856-2779
person
Provider Business Mailing Address Details
Address
221 E State St
City
State
Zip
52544-1813
Phone Number
641-856-6471
Fax Number
641-856-2779
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
09066 (Iowa)
Definition
Definition to come...
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