ETHAN PETTYJOHN, LPC

LPC

Professional Counselor

NPI: 1619452307IndividualAccepts Medicare

Specialties, Licenses & Credentials

Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

C7752(OR)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2018

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Contact & Hours

Address: 9755 SW BARNES RD
PORTLAND, OR 97225
Phone: (503) 444-4862

Quick Facts

NPI: 1619452307
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 8

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