person
Nichole Diane Pettway, NCAC1CATS1
Addiction (Substance Use Disorder) Counselor in Lemoore, California
NPI 1851749162

Nichole Diane Pettway is an Addiction (Substance Use Disorder) Counselor based in Lemoore, CA and is specialized in Addiction (Substance Use Disorder). Nichole Diane Pettway practices in Lemoore, CA and has the professional credentials of NCAC1CATS1. The NPI Number for Nichole Diane Pettway is 1851749162 and holds a License No. 015838 (California).

The current practice location address for Nichole Diane Pettway is 839 Monaco Dr, Lemoore, CA and can be reached out via phone at 650-771-1908 and via fax at 415-703-0550.

Location: 839 Monaco Dr, Lemoore, CA, 93245-4151
person
Provider Profile Details
NPI Number
1851749162
Provider Name
Nichole Diane Pettway
Credential
NCAC1CATS1
Provider Entity Type
Individual
Gender
Female
Address
839 Monaco Dr, Lemoore, CA, 93245-4151
Phone Number
650-771-1908
Fax Number
415-703-0550
Provider Enumeration Date
05/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
839 Monaco Dr
City
State
Zip
93245-4151
Phone Number
650-771-1908
Fax Number
415-703-0550
person
Provider Business Mailing Address Details
Address
839 Monaco Dr
City
State
Zip
93245-4151
Phone Number
650-771-1908
Fax Number
415-703-0550
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
015838 (California)
Definition
Definition to come...
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