Tashia Nicole Petty
NPI #1063175610 in El Cajon, California
Provider Information
- NPI Number
- 1063175610
- Entity Type
- Individual
- Name
- Tashia Nicole Petty
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 20, 2021
- Last Updated
- Oct 20, 2021
Practice Location
- Address
- 1365 N JOHNSON AVE STE 111
- City
- El Cajon
- State
- California
- ZIP Code
- 92020-1649
- Phone
- (619) 440-4801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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