Individual provider · Type 1 NPI

Chad Walter Petties Sr.

Marriage & Family Therapist · Mira Loma, CA

NPI number 1528398971 Active

Practice location

10551 Bellegrave Ave
Mira Loma, CA 91752-1800

Mailing address

3939 Thirtenth Street
Riverside, CA 92507-4944

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X92433 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1528398971

Chad Walter Petties Sr.'s National Provider Identifier is 1528398971, issued on Jan 7, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Mira Loma, CA. The record was last updated on Sep 12, 2024.