Terry Petty, LMFT

NPI #1861993842 in Hermosa Beach, California

Provider Information

NPI Number: 1861993842
Entity Type: Individual
Name: Terry Petty, LMFT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LMFT
Enumeration Date: Feb 23, 2018
Last Updated: Feb 23, 2018

Practice Location

Address: 1640 MANHATTAN AVE
City: Hermosa Beach
State: California
ZIP Code: 90254-3453
Phone: (310) 938-0494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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