Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alice D Petty-Hannum, MFT

Individual provider Marriage & Family Therapist · NPI 1790989119

Alice D Petty-Hannum, MFT is a Marriage & Family Therapist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

406 Chinn St
Santa Rosa, CA 95404-4339
Phone: (707) 495-5350
Fax: (707) 570-2680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 43967 (CA)

Record details

NPI number1790989119
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorYes
NPI enumeratedJune 11, 2007
Last updated in NPPESAugust 25, 2011

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