Individual
ANTON PETRENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-3792
(855) 246-2329
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-3792
(855) 246-2329
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY33579
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/08/2011
Last updated
12/28/2022
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