Individual
MISS TERRESHA Y PETEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2444 W BLOCH RD, PHOENIX, AZ 85041-2930
(779) 248-1040
Mailing address
4915 W LYNNE LN, LAVEEN, AZ 85339-4240
(779) 248-1040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/30/2021
Last updated
01/30/2021
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