Individual
ERIC VERNON PETTINGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
3729 WOODKING DR STE 1, IDAHO FALLS, ID 83404-4720
(208) 356-4900
(208) 612-6118
Mailing address
PO BOX 18, SAINT ANTHONY, ID 83445-0018
(208) 356-4900
(208) 624-4030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
09/05/2024
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