Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tina Yvonne Pettiford, LPC

Individual provider Counselor · NPI 1366711939

Mrs. Tina Yvonne Pettiford, LPC is a Counselor in East Saint Louis, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
Specialties on file
5
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5501 N Park Dr
East Saint Louis, IL 62204-2121
Phone: (618) 244-5119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178.006219 (IL)
Counselor Taxonomy 101Y00000X · Licence 178.006219 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 178.006219 (IL)
School Counselor Taxonomy 101YS0200X · Licence 2341716 (IL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 178.006219 (IL)

Record details

NPI number1366711939
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedDecember 27, 2011
Last updated in NPPESDecember 27, 2011

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