Individual
BONNIE PETTYJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25560 OAK HILL RD, DENHAM SPRINGS, LA 70726
(225) 328-7791
Mailing address
25560 OAK HILL RD, DENHAM SPRINGS, LA 70726
(225) 328-7791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/02/2016
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