Ashley Pettis
Mental Health Counselor
9330 59th Ave Sw
Lakewood
, Washington 98499-2858
Ashley Pettis
Mental Health Counselor
9330 59th Ave Sw
Lakewood
, Washington 98499-2858
(253) 620-5015
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Ashley Pettis
- 9330 59th Ave Sw
- Lakewood, WA
- Zip : 98499-2858
- Phone : (253) 620-5015
Second Address
- Ashley Pettis
- 9330 59th Ave Sw
- Lakewood, WA
- Zip : 98499-2858
- Phone : (253) 620-5015
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | WA |
National Provider Identifier
| NPI | 1003214420 |
|---|---|
| Provider Name | Ashley Pettis |
| First Address | Lakewood, WA 98499-2858 |
| Second Address | Lakewood, WA 98499-2858 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/12/2014 |
| Last Update Date | 17/12/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.