Individual
ANDREA MARIE PETTETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 751-3026
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
107101
CA
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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