person
Shawanda Lynette Petty
Counselor in Marina, California
NPI 1942820121

Shawanda Lynette Petty is a Counselor based in Monterey, CA. Shawanda Lynette Petty practices in Marina, CA. The NPI Number for Shawanda Lynette Petty is 1942820121 and holds a License No. (California).

The current practice location address for Shawanda Lynette Petty is 601 Bayonet Cir, Marina, CA and can be reached out via phone at 831-641-3000.

Location: 601 Bayonet Cir, Marina, CA, 93940-3070
person
Provider Profile Details
NPI Number
1942820121
Provider Name
Shawanda Lynette Petty
Credential
Provider Entity Type
Individual
Gender
Female
Address
601 Bayonet Cir, Marina, CA, 93940-3070
Phone Number
831-641-3000
Fax Number
Provider Enumeration Date
04/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 Bayonet Cir
City
State
Zip
93933-4600
Phone Number
831-641-3000
Fax Number
person
Provider Business Mailing Address Details
Address
601 Bayonet Cir
City
State
Zip
93933-4600
Phone Number
831-641-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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