Individual
JESSICA SHANNON PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1155 KELLY JOHNSON BLVD STE 111, COLORADO SPRINGS, CO 80920-3957
(970) 316-2161
Mailing address
1155 KELLY JOHNSON BLVD STE 111, COLORADO SPRINGS, CO 80920-3957
(970) 316-2161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09929444
CO
1041C0700X
Clinical Social Worker
253033
KY
Other
Enumeration date
05/29/2018
Last updated
10/25/2023
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