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Pettingill Counseling Services, Professional Corporation
Mental Health Counselor in Idaho Falls, Idaho
NPI 1891919890

Pettingill Counseling Services, Professional Corporation is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Pettingill Counseling Services, Professional Corporation practices in Idaho Falls, ID. The NPI Number for Pettingill Counseling Services, Professional Corporation is 1891919890 and holds a License No. (Idaho).

The current practice location address for Pettingill Counseling Services, Professional Corporation is 1302 E 17Th St, Idaho Falls, ID and can be reached out via phone at 208-542-9919 and via fax at 208-542-6272.

Location: 1302 E 17Th St, Idaho Falls, ID, 83404-6270
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Provider Profile Details
NPI Number
1891919890
Provider Name
Pettingill Counseling Services, Professional Corporation
Credential
Provider Entity Type
Organization
Address
1302 E 17Th St, Idaho Falls, ID, 83404-6270
Phone Number
208-542-9919
Fax Number
208-542-6272
Provider Enumeration Date
04/12/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806803500 05 ID
institution
Provider Business Practice Location Address Details
Address
1302 E 17Th St
City
State
Zip
83404-6270
Phone Number
208-542-9919
Fax Number
208-542-6272
person
Provider Business Mailing Address Details
Address
1302 E 17Th St
City
State
Zip
83404-6270
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
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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