| Kathy I Pettengill | |
|
795 Alamo Dr Suite C Vacaville CA 95688 | |
| (707) 628-6004 | |
| Not Available |
| Full Name | Kathy I Pettengill |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 795 Alamo Dr, Vacaville, California |
| Authorized Official Name and Position | Kathy I Pettengill (MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Contact | 7076286004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy I Pettengill 795 Alamo Dr Suite C Vacaville CA 95688 Ph: (707) 628-6004 | Kathy I Pettengill 795 Alamo Dr Suite C Vacaville CA 95688 Ph: (707) 628-6004 |
| NPI Number | 1518791532 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518791532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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