Ginah Pettyjohn's National Provider Identifier (NPI) Details
Ginah Pettyjohn, LPC
NPI: 1437692720
Enumeration Date: 2016-11-18
Last updated: 2023-08-03
Sole Proprietor: NO
Status: active
Postal Address: 501 E CENTERTON BLVD APT 1312, CENTERTON, AR
Phone: 479-257-5070
Primary Practice Address: 685 SHELBY TRL STE 105, CONWAY, AR
Practice's phone: 501-406-0504