Pettingill Counseling Services, Professional Corporation
Pettingill Counseling Services, Professional Corporation is a Counselor in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
1302 E 17th StIdaho Falls, ID 83404-6270
Phone: (208) 542-9919
Fax: (208) 542-6272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence LCSW-24477 (ID) |
|---|
Record details
| NPI number | 1194847285 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tamara Pettingill — Owner · (208) 542-9919 |
| NPI enumerated | April 6, 2007 |
| Last updated in NPPES | December 19, 2022 |
| Certification date | December 19, 2022 |
| Mailing address | 2267 Teton Plz, Idaho Falls, ID 83404-6486 |
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