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Tashia Nicole Petty
Addiction (Substance Use Disorder) Counselor in El Cajon, California
NPI 1063175610

Tashia Nicole Petty is an Addiction (Substance Use Disorder) Counselor based in El Cajon, CA and is specialized in Addiction (Substance Use Disorder). Tashia Nicole Petty practices in El Cajon, CA. The NPI Number for Tashia Nicole Petty is 1063175610 and holds a License No. (California).

The current practice location address for Tashia Nicole Petty is 1365 N Johnson Ave Ste 111, El Cajon, CA and can be reached out via phone at 619-440-4801.

Location: 1365 N Johnson Ave Ste 111, El Cajon, CA, 92020-1651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063175610
Provider Name
Tashia Nicole Petty
Credential
Provider Entity Type
Individual
Gender
Female
Address
1365 N Johnson Ave Ste 111, El Cajon, CA, 92020-1651
Phone Number
619-440-4801
Fax Number
Provider Enumeration Date
10/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1365 N Johnson Ave Ste 111
City
El Cajon
State
California
Zip
92020-1649
Phone Number
619-440-4801
Fax Number
person
Provider Business Mailing Address Details
Address
1365 N Johnson Ave Ste 111
City
El Cajon
State
California
Zip
92020-1649
Phone Number
619-440-4801
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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