Nichole Diane Pettway, NCAC1CATS1
Nichole Diane Pettway, NCAC1CATS1 is an Addiction (Substance Use Disorder) Counselor in Lemoore, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
839 Monaco DrLemoore, CA 93245-4151
Phone: (650) 771-1908
Fax: (415) 703-0550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 143628I (CA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 015838 (CA) |
Record details
| NPI number | 1851749162 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NCAC1CATS1 |
| Sole proprietor | No |
| NPI enumerated | May 26, 2016 |
| Last updated in NPPES | May 26, 2016 |
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