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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
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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