Individual provider · Type 1 NPI

Alice D. Petty-Hannum, MFT

Marriage & Family Therapist · Santa Rosa, CA

NPI number 1790989119 Active

Practice location

406 Chinn St
Santa Rosa, CA 95404-4339

Call (707) 495-5350 Map

Fax (707) 570-2680

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X43967 (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 1790989119

Alice D. Petty-Hannum, MFT's National Provider Identifier is 1790989119, issued on Jun 11, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 25, 2011.