Matthew Jarvis Pettit, MFT | |
1801 I 70 Business Loop Ste B5, Grand Jct, CO 81501-8002 | |
(970) 245-3212 | |
(970) 245-3216 |
Full Name | Matthew Jarvis Pettit |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1801 I 70 Business Loop Ste B5, Grand Jct, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871745117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 980 (Colorado) | Primary |
106H00000X | Marriage & Family Therapist | 5696849-3902 (Utah) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Matthew Jarvis Pettit, MFT Po Box 23360, Glade Park, CO 81523-0360 Ph: (970) 623-4281 | Matthew Jarvis Pettit, MFT 1801 I 70 Business Loop Ste B5, Grand Jct, CO 81501-8002 Ph: (970) 245-3212 |
Mrs. Dayna R Coombs, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1801 I 70 Business Loop Ste B5, Grand Jct, CO 81501 Phone: 970-245-3212 Fax: 970-245-3216 |