Individual provider · Type 1 NPI

Malaysia Pettis

Counselor · Everett, WA

NPI number 1861163420 Active

Practice location

2802 Broadway
Everett, WA 98201-3642

Call (425) 259-3191 Map

Mailing address

PO Box 839
Everett, WA 98206-0839

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Community Health Worker 172V00000XNone listed
Behavior Technician 106S00000XNone 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 1861163420

Malaysia Pettis's National Provider Identifier is 1861163420, issued on Sep 23, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Everett, WA. The record was last updated on Dec 17, 2024.