Individual provider · Type 1 NPI

Alyssa Pettingill, CCLS

Specialist · San Diego, CA

NPI number 1407558208 Active

Practice location

4412 Boundary St
San Diego, CA 92116-4301

Call (916) 402-3384 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X30998 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407558208

Alyssa Pettingill, CCLS's National Provider Identifier is 1407558208, issued on Mar 17, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Mar 17, 2023.