Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TINA YVONNE PETTIFORD, LPC
ActiveMRS. TINA YVONNE PETTIFORD, LPC is a Professional Counselor healthcare provider located in EAST SAINT LOUIS, Illinois. NPI 1366711939 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · EAST SAINT LOUIS, IL
Registration Details
- NPI Number
- 1366711939
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2011 (14.487935022402 yrs)
- Last Updated
- Dec 27, 2011
- Licenses
-
178.006219 (IL)178.006219 (IL)178.006219 (IL)2341716 (IL)178.006219 (IL)
Practice Information
- Address
-
5501 N PARK DREAST SAINT LOUIS, IL, 622042121Browse IL providers · Browse ZIP 62204
- Phone
- 6182445119
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
- Additional Specialty
- School Counselor
- Additional Specialty
- Marriage & Family Therapist
Other Professional Counselor Providers in EAST SAINT LOUIS, IL
| Name | Credential | NPI |
|---|---|---|
| MS. MARGI LYNN WAGNER-FARLEY | — | 1659563096 |
| MS. ALICIA MICHELLE COLLIER | — | 1851866610 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.