Pettyjohn, Ginah Brianne
Pettyjohn, Ginah Brianne is an individual health care provider with primary practice located at 685 Shelby Trl Ste 105 , Conway AR 72034-7169. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pettyjohn, Ginah Brianne can be contacted via phone (501) 406-0504.Contact Information
Primary practice address
685 Shelby Trl Ste 105
Conway AR 72034-7169
Phone: (501) 406-0504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1811147 | Arkansas |
Profile Details
| NPI number | 1437692720 |
|---|---|
| LBN Legal business name | Pettyjohn, Ginah Brianne |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2016 |
| Last updated | Aug 3rd, 2023 - about 3 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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