Individual
ROBBIE JON PETSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
115 S CANDY LN STE 115C2, COTTONWOOD, AZ 86326-4105
(602) 358-7073
(602) 429-8602
Mailing address
23380 N 61ST DR, GLENDALE, AZ 85310-5748
(602) 358-7073
(602) 429-8602
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-19398
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823714961
—
AZ
Enumeration date
11/17/2020
Last updated
11/17/2020
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