IndividualActive
Alexus Pettibone
NPI 1316745359 · Mental Health Counselor · Roseburg, OR
Provider details
- NPI number
- 1316745359
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
Po Box 1121
Roseburg, OR 97470-0254
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.