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Search › Arizona › 101YP2500X

Mike Petagna, LPC

NPI 1831784115 · on the registry since 2021 · sole proprietor

Practice

Address
824 N 99th Ave Ste 107-108
Avondale, AZ 85323
Phone
(623) 907-1457
Organisation at this address
Genoa Healthcare Llc
Community Bridges, Inc
Community Bridges, Inc.
Community Bridges, Inc.
Community Bridges, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Additional practice sites

  • 11070 W Fargo Dr, Sun City, AZ

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona