ALICE D PETTY-HANNUM

SANTA ROSA, CA
NPI1790989119
Former NameALICE D PETTY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  43967)
Enumeration Date2007-06-11
Last Update Date2011-08-25
Business Address
-- ALICE D PETTY-HANNUM MFT
406 CHINN ST
SANTA ROSA, CA 95404-4339
Phone number: 707-495-5350
Mailing Address
-- ALICE D PETTY-HANNUM MFT
406 CHINN ST
SANTA ROSA, CA 95404-4339
Phone number: 707-495-5350