Individual
TENISHA PETTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
1533 SUNSET DR STE 225, CORAL GABLES, FL 33143-5700
(786) 733-6422
Mailing address
9721 NW 3RD ST, PEMBROKE PINES, FL 33024-6207
(786) 300-6778
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4181
FL
Other
Enumeration date
02/11/2020
Last updated
12/21/2023
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