MIKE PETAGNA LPC NPI 1831784115

NPI Information

Mike Petagna, LPC is a professional counselor in Avondale, AZ. Mike Petagna, LPC NPI is 1831784115. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

824 N 99TH AVE STE 107-108
AVONDALE, AZ
ZIP 85323-324
Phone: (623) 907-1457

The NPI 1831784115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/8/2021 and was last updated on 3/8/2021.

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:

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