Individual provider · Type 1 NPI

Ebony Pettigrew

Counselor · Jackson, TN

NPI number 1669341871 Active

Practice location

39 Murray Guard Dr
Jackson, TN 38305-3610

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1669341871

Ebony Pettigrew's National Provider Identifier is 1669341871, issued on Nov 4, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jackson, TN. The record was last updated on Jul 20, 2026.