MS. Dazshea Trinna Petty, CPSS

NPI #1104384338 in Columbus, Mississippi

Provider Information

NPI Number: 1104384338
Entity Type: Individual
Name: MS. Dazshea Trinna Petty, CPSS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CPSS
Enumeration Date: Mar 6, 2019
Last Updated: Mar 6, 2019

Practice Location

Address: 428 24TH AVE N
City: Columbus
State: Mississippi
ZIP Code: 39705-1945
Phone: (662) 241-7097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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