Individual provider · Type 1 NPI
Mindy Sue Pettenger
Peer Specialist · Freeport, IL
NPI number
1386214559
Active
Practice location
421 W Exchange St
Freeport, IL 61032-4008
Mailing address
PO Box 813
Freeport, IL 61032-0813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
96 other providers at this address
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- Andrea CosseyCounselor Freeport, IL NPI 1962755272
- Angela Heuerman, APRNPsychiatric/Mental Health Nurse Practitioner Freeport, IL NPI 1669721213
- Anna FergusonSpecialist Freeport, IL NPI 1851508428
About NPI 1386214559
Mindy Sue Pettenger's National Provider Identifier is 1386214559, issued on Jun 29, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Freeport, IL. The record was last updated on Jun 29, 2021.