Tamara K. Pettingill in Idaho Falls - Counselor
Tamara K. Pettingill - NPI 1629081864
Tamara K. Pettingill is a Counselor in Idaho Falls, Idaho. Tamara K. Pettingill practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tamara K. Pettingill is 1629081864. The last update date is 2022-12-19.
Tamara K. Pettingill's current location address is 1302 E 17th St, Idaho Falls, Idaho. You can contact this provider via phone number 2085429199 and fax number 2085426272. The mailing address for Tamara K. Pettingill is 1302 E 17th St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara K. Pettingill |
|---|---|
| Address | 1302 E 17th St, Idaho Falls, Idaho |
| Phone Number | 2085429199 |
| Fax Number | 2085426272 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629081864 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2022-12-19 |
Provider Mailing Address Detail
| Address | 1302 E 17th St |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834046270 |
| Phone Number | 2085429199 |
| Fax Number | 2085426272 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | LCSW-24477 |
|
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806864000 | ID | -- | |
| 806836700 | ID | -- | |
| 806803500 | ID | -- |
Post Comment/ Review Below
What is the Tamara K. Pettingill's unique identification number?
The Tamara K. Pettingill has been assigned the NPI (National Provider Identifier) Number 1629081864 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Tamara K. Pettingill is physically located?
The Tamara K. Pettingill is situated at the following address: 1302 E 17Th St, Idaho Falls, ID 834046270.
What is Tamara K. Pettingill's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tamara K. Pettingill's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
On what date did the Tamara K. Pettingill receive the assignment of its 1629081864 from the Centers for Medicare & Medicaid Services?
The Tamara K. Pettingill was issued its 1629081864 by the Centers for Medicare & Medicaid Services on 2006-08-15.
As of what date was the information pertaining to Tamara K. Pettingill, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tamara K. Pettingill, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-12-19.
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