Individual provider · Type 1 NPI

Lalannie Michele Pettway

Counselor · Van Nuys, CA

NPI number 1184744252 Active

Practice location

15339 Saticoy St
Van Nuys, CA 91406-3345

Mailing address

17430 Martha St
Encino, CA 91316-1323

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1184744252

Lalannie Michele Pettway's National Provider Identifier is 1184744252, issued on Mar 30, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Van Nuys, CA. The record was last updated on Jul 8, 2007.