NICHOLE DIANE PETTWAY

LEMOORE, CA
NPI1851749162
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  143628I)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  015838)
Enumeration Date2016-05-26
Last Update Date2016-05-26
Business Address
-- NICHOLE DIANE PETTWAY NCAC1 CATS 1
839 MONACO DR
LEMOORE, CA 93245-4151
Phone number: 650-771-1908
Mailing Address
-- NICHOLE DIANE PETTWAY NCAC1 CATS 1
839 MONACO DR
LEMOORE, CA 93245-4151
Phone number: 650-771-1908