TIMOTHY PETTETT, SUDRC #16547
Counselor
Active
Individual
NPI: 1104545490
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | Yes | - |
Frequently Asked Questions
NPI 1104545490 is the National Provider Identifier for TIMOTHY PETTETT, SUDRC #16547, a Counselor provider located in San Jose, CA. This NPI was enumerated on August 22, 2022.
TIMOTHY PETTETT, SUDRC #16547 practices at 298 BERNAL RD, San Jose, CA 95119.
Quick Facts
- NPI
- 1104545490
- Type
- Individual
- Enumerated
- Aug 22, 2022
- Last Updated
- Oct 20, 2024
Nearby Providers
-
JACQUELINE NGUYEN
Behavior Technician
-
MR. CHRISTOPHER HICKEY, LMFT
Marriage & Family Therapist
-
DR. JUDY DEL MUNDO, M.D.
Allergy & Immunology
-
MAY CHOW, PHARMD
Pharmacist
-
JASKIRAN DHILLON
Behavior Technician