JOHNETTA ELAINE THREADGILL-POWDERLL

FONTANA, CA
NPI1841874278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  AMFT118324)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: CA  APCC7643)
Enumeration Date2021-05-11
Last Update Date2021-05-11
Business Address
JOHNETTA ELAINE THREADGILL-POWDERLL
17057 FOOTHILL BLVD STE 205
FONTANA, CA 92335-3523
Phone number: 909-693-3177
Mailing Address
JOHNETTA ELAINE THREADGILL-POWDERLL
PO BOX 90864
SAN BERNARDINO, CA 92427-1864
Phone number: 909-522-9069