ALEXUS PETTIBONE

ROSEBURG, OR
NPI1316745359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2025-03-05
Last Update Date2025-03-05
Business Address
ALEXUS PETTIBONE
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-440-3532
Mailing Address
ALEXUS PETTIBONE
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691