person
Dominique Terrell Pettis
Addiction (Substance Use Disorder) Counselor in Colton, California
NPI 1184968570

Dominique Terrell Pettis is an Addiction (Substance Use Disorder) Counselor based in Moreno Valley, CA and is specialized in Addiction (Substance Use Disorder). Dominique Terrell Pettis practices in Colton, CA. The NPI Number for Dominique Terrell Pettis is 1184968570 and holds a License No. (California).

The current practice location address for Dominique Terrell Pettis is 2275 E. Cooley Dr, Colton, CA and can be reached out via phone at 909-370-1777 and via fax at 909-370-1776.

Location: 2275 E. Cooley Dr, Colton, CA, 92555-3316
person
Provider Profile Details
NPI Number
1184968570
Provider Name
Dominique Terrell Pettis
Credential
Provider Entity Type
Individual
Gender
Male
Address
2275 E. Cooley Dr, Colton, CA, 92555-3316
Phone Number
909-370-1777
Fax Number
909-370-1776
Provider Enumeration Date
11/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2275 E. Cooley Dr
City
State
Zip
92324
Phone Number
909-370-1777
Fax Number
909-370-1776
person
Provider Business Mailing Address Details
Address
2275 E. Cooley Dr
City
State
Zip
92324
Phone Number
909-370-1777
Fax Number
909-370-1776
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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