Pettingill Counseling Services, Professional Corporation

NPI #1194847285 in Idaho Falls, Idaho

Provider Information

NPI Number: 1194847285
Entity Type: Organization
Organization Name: Pettingill Counseling Services, Professional Corporation
Primary Specialty: Counselor
Enumeration Date: Apr 6, 2007
Last Updated: Dec 19, 2022

Practice Location

Address: 1302 E 17TH ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6270
Phone: (208) 542-9919

Authorized Official

Name: MS. TAMARA K. PETTINGILL, LCSW
Title: OWNER
Phone: (208) 542-9919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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