Individual
MATTHEW JARVIS PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
1801 I 70 BUSINESS LOOP STE B5, GRAND JCT, CO 81501-8002
(970) 245-3212
(970) 245-3216
Mailing address
PO BOX 23360, GLADE PARK, CO 81523-0360
(970) 623-4281
(970) 245-3216
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
5696849-3902
UT
106H00000X
Marriage & Family Therapist
Primary
980
CO
Other
Enumeration date
10/17/2008
Last updated
11/17/2023
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