Shawanda Lynette Petty
Shawanda Lynette Petty is a Counselor in Marina, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
601 Bayonet CirMarina, CA 93933-4600
Phone: (831) 641-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1942820121 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 17, 2020 |
| Last updated in NPPES | April 17, 2020 |
| Certification date | April 17, 2020 |
| Mailing address | 604 Pearl St, Monterey, CA 93940-3070 |
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