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Kristofer Kedar Pettway
Prevention Professional in Los Angeles, California
NPI 1427783315

Kristofer Kedar Pettway is a Prevention Professional based in Los Angeles, CA. Kristofer Kedar Pettway practices in Los Angeles, CA. The NPI Number for Kristofer Kedar Pettway is 1427783315 and holds a License No. 19393832 (California).

The current practice location address for Kristofer Kedar Pettway is 411 S Normade Ave Apt 732, Los Angeles, CA and can be reached out via phone at 516-919-0061.

Location: 411 S Normade Ave Apt 732, Los Angeles, CA, 90020-3396
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427783315
Provider Name
Kristofer Kedar Pettway
Credential
Provider Entity Type
Individual
Gender
Male
Address
411 S Normade Ave Apt 732, Los Angeles, CA, 90020-3396
Phone Number
516-919-0061
Fax Number
Provider Enumeration Date
07/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
411 S Normade Ave Apt 732
City
Los Angeles
State
California
Zip
90020-3396
Phone Number
516-919-0061
Fax Number
person
Provider Business Mailing Address Details
Address
411 S Normade Ave Apt 732
City
Los Angeles
State
California
Zip
90020-3396
Phone Number
516-919-0061
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Prevention Professional
Speciality
-
Taxonomy
405300000X
License No.
19393832 (New York)
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
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