Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Chad Walter Petties Sr.

Individual provider Marriage & Family Therapist · NPI 1528398971

Mr. Chad Walter Petties Sr. is a Marriage & Family Therapist in Mira Loma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
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Practice location Address checks out

10551 Bellegrave Ave
Mira Loma, CA 91752-1800
Phone: (951) 488-2938
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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 92433 (CA)

Record details

NPI number1528398971
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 7, 2010
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 9, 2024

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