| NPI | 1518791532 |
|---|---|
| Other Name | KATHY PETTENGILL, LMFT |
| Entity Type | Organization |
| Authorized Contact | KATHY I PETTENGILL Marriage & Family Therapist 707-628-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |