Individual
ANITA NICOLE PEDDADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3619 N MISSION RD, LINCOLN HEIGHTS, CA 90031-3136
(213) 721-0010
Mailing address
3619 N MISSION RD, LINCOLN HEIGHTS, CA 90031-3136
(213) 721-0010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
156660
CA
Other
Enumeration date
05/21/2021
Last updated
03/31/2026
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