Organization · Type 2 NPI

Pettingill Counseling Services, PC

Counselor · Idaho Falls, ID

NPI number 1811019904 Active

Practice location

2267 Teton Plz
Idaho Falls, ID 83404-6486

Call (208) 542-9919 Map

Fax (208) 542-6272

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLCSW-24477 (ID)

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 1811019904

Pettingill Counseling Services, PC's National Provider Identifier is 1811019904, issued on Apr 6, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 22, 2020.