Individual
ANNIE ELIZABETH PETTIJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 W 20TH ST STE C, GREELEY, CO 80634-6566
(970) 227-9352
Mailing address
3257 W 20TH ST, GREELEY, CO 80634-6550
(970) 942-3031
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
03/30/2026
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