Nichole Diane Pettway, NCAC1 CATS 1
NPI #1851749162 in Lemoore, California
Provider Information
- NPI Number
- 1851749162
- Entity Type
- Individual
- Name
- Nichole Diane Pettway, NCAC1 CATS 1
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- NCAC1 CATS 1
- Enumeration Date
- May 26, 2016
- Last Updated
- May 26, 2016
Practice Location
- Address
- 839 MONACO DR
- City
- Lemoore
- State
- California
- ZIP Code
- 93245-4151
- Phone
- (650) 771-1908
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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