Individual
LUCAS CHRISTOPHER PETTENGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
20 LAZY CREEK LN, SEQUIM, WA 98382-7809
(760) 331-4066
(760) 331-4966
Mailing address
20 LAZY CREEK LN, SEQUIM, WA 98382-7809
(760) 331-4066
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
MG61562823
WA
106H00000X
Marriage & Family Therapist
—
WA
Other
Enumeration date
05/16/2023
Last updated
07/24/2024
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