Individual
MR. MARK ANTHONY PETTINATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
310 GLOCHESKI DR, MANISTEE, MI 49660-2639
(231) 309-1781
(231) 723-1735
Mailing address
310 GLOCHESKI DR, MANISTEE, MI 49660-2639
(231) 309-1781
(231) 723-1735
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015039
MI
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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