Individual
REBECCA PETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
5716 MICHIGAN AVE, SUITE 3000, DETROIT, MI 48210-3039
(313) 963-2266
Mailing address
5716 MICHIGAN AVE, SUITE 3000, DETROIT, MI 48210-3039
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015931
MI
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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