institution
Pettingill Counseling Services, Pc
Counselor in Idaho Falls, Idaho
NPI 1811019904

Pettingill Counseling Services, Pc is a Counselor based in Idaho Falls, ID. Pettingill Counseling Services, Pc practices in Idaho Falls, ID. The NPI Number for Pettingill Counseling Services, Pc is 1811019904 and holds a License No. LCSW-24477 (Idaho).

The current practice location address for Pettingill Counseling Services, Pc is 2267 Teton Plz, Idaho Falls, ID and can be reached out via phone at 208-542-9919 and via fax at 208-542-6272. You can also correspond with Pettingill Counseling Services, Pc through the mailing address at 2267 TETON PLZ, IDAHO FALLS, ID - 83404-6486 (mailing address contact number: 208-542-9919).

Location: 2267 Teton Plz, Idaho Falls, ID, 83404-6486
institution
Provider Profile Details
NPI Number
1811019904
Provider Name
Pettingill Counseling Services, Pc
Credential
Provider Entity Type
Organization
Address
2267 Teton Plz, Idaho Falls, ID, 83404-6486
Phone Number
208-542-9919
Fax Number
208-542-6272
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807357200 05 ID
institution
Provider Business Practice Location Address Details
Address
2267 Teton Plz
City
State
Zip
83404-6486
Phone Number
208-542-9919
Fax Number
208-542-6272
person
Provider Business Mailing Address Details
Address
2267 Teton Plz
City
State
Zip
83404-6486
Phone Number
208-542-9919
Fax Number
208-542-6272
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LCSW-24477 (Idaho)
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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