Individual provider · Type 1 NPI
Asia Ruby Petty, B.A.
Mental Health Counselor · San Diego, CA
NPI number
1023147022
Active
Practice location
504 Thorn St Apt 3
San Diego, CA 92103-5721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1023147022
Asia Ruby Petty, B.A.'s National Provider Identifier is 1023147022, issued on Mar 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.