TERRESHA Y PETEN

PHOENIX, AZ
NPI1053902254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-01-30
Last Update Date2021-01-30
Business Address
Miss TERRESHA Y PETEN
2444 W BLOCH RD
PHOENIX, AZ 85041-2930
Phone number: 779-248-1040
Mailing Address
Miss TERRESHA Y PETEN
4915 W LYNNE LN
LAVEEN, AZ 85339-4240
Phone number: 779-248-1040