Petsche, Robbie Jon

Petsche, Robbie Jon is an individual health care provider with primary practice located at 115 S Candy Ln Ste 115C2 , Cottonwood AZ 86326-4105. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Petsche, Robbie Jon can be contacted via phone (602) 358-7073.

Contact Information

Primary practice address
115 S Candy Ln Ste 115C2 Cottonwood AZ 86326-4105
Fax: (602) 429-8602
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-19398 Arizona

Profile Details

NPI number 1316540933
LBN Legal business name Petsche, Robbie Jon
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316540933 NPPES
Arizona MEDICAID 823714961

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