Individual provider · Type 1 NPI
John Pettingill, LPC
Counselor · Prescot Valley, AZ
NPI number
1851945620
Active
Practice location
3212 N. Windsong Drive, Ste 200
Prescot Valley, AZ 86314
Fax (866) 751-4157
Mailing address
3295 S Rancho Place
Humboldt, AZ 86329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LPC-15212 (AZ) |
| Counselor Primary | 101Y00000X | LAC-15212 (AZ) |
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.
About NPI 1851945620
John Pettingill, LPC's National Provider Identifier is 1851945620, issued on Jul 30, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Prescot Valley, AZ. The record was last updated on Jul 30, 2019.