Individual
DAVINA PETTAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,MA LPC, LICDC-CS
Contact information
Practice address
405 W 1ST ST, DAYTON, OH 45402-3007
(937) 479-7010
Mailing address
3094 UMBEROAK DR, DAYTON, OH 45449-3689
(419) 932-5482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
140856
OH
Other
Enumeration date
05/30/2018
Last updated
12/12/2025
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