Dominique Terrell Pettis
NPI #1184968570 in Colton, California
Provider Information
- NPI Number
- 1184968570
- Entity Type
- Individual
- Name
- Dominique Terrell Pettis
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Nov 26, 2012
- Last Updated
- Nov 26, 2012
Practice Location
- Address
- 2275 E. COOLEY DR
- City
- Colton
- State
- California
- ZIP Code
- 92324
- Phone
- (909) 370-1777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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