Lisa Russo Pettigrew, RSMT, PHDCANDIDATE
Lisa Russo Pettigrew, RSMT, PHDCANDIDATE is a Community Health Worker in Crestline, California. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
340 S State Highway 138Crestline, CA 92325-9153
Phone: (909) 336-3330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychoanalyst (primary) | Taxonomy 102L00000X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1356128029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RSMT , PHDCANDIDATE |
| Sole proprietor | No |
| NPI enumerated | September 14, 2023 |
| Last updated in NPPES | February 6, 2025 |
| Certification date | February 6, 2025 |
Other providers in Crestline
-
Lisa Colvin
340 Ca-Hwy 138, Crestline, CA 92325 · (909) 336-3330
-
Diana Garcia
24024 Lake Dr, Crestline, CA 92325 · (909) 338-3222
-
Miranda Beth Parton, BA, MA
340 Hwy 138, Crestline, CA 92325 · (909) 273-7714