Individual provider · Type 1 NPI

Maegan Lavern Pettit

Counselor · Bloomington, IL

NPI number 1689082489 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Fax (309) 829-6808

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 1689082489

Maegan Lavern Pettit's National Provider Identifier is 1689082489, issued on Jul 25, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bloomington, IL. The record was last updated on Jul 25, 2014.