MICHELLE MARGARET PETTENGILL BA CADC NPI 1639307077

NPI Information

NPI: 1639307077
Provider Name: MICHELLE MARGARET PETTENGILL, BA, CADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
221 E STATE ST
CENTERVILLE, IA
ZIP 52544
Phone: (641) 856-6471
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Michelle Margaret Pettengill, BA, CADC is an addiction (substance use disorder) counselor in Centerville, IA. Michelle Margaret Pettengill, BA, CADC NPI is 1639307077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

221 E STATE ST
CENTERVILLE, IA
ZIP 52544-813
Phone: (641) 856-6471
Fax: (641) 856-2779

The enumeration date for this NPI number is 6/24/2009 and was last updated on 6/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	09066	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09066	OTHER	IOWA	CADC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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