Individual
JOHN PETTINGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3212 N. WINDSONG DRIVE, STE 200, PRESCOT VALLEY, AZ 86314
(928) 583-1000
(866) 751-4157
Mailing address
3295 S RANCHO PLACE, HUMBOLDT, AZ 86329
(480) 586-5490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-15212
AZ
101YP2500X
Professional Counselor
LPC-15212
AZ
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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