Individual
ASIA RUBY PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
504 THORN ST APT 3, SAN DIEGO, CA 92103-5721
(619) 291-0636
Mailing address
504 THORN ST APT 3, SAN DIEGO, CA 92103-5721
(619) 291-0636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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