Individual
ERNEST H PETTIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN. LPC
Contact information
Practice address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
(307) 745-8761
Mailing address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
(307) 745-8761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1124
WY
Other
Enumeration date
03/26/2008
Last updated
04/15/2011
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