Individual provider · Type 1 NPI

Shawanda Lynette Petty

Counselor · Marina, CA

NPI number 1942820121 Active

Practice location

601 Bayonet Cir
Marina, CA 93933-4600

Call (831) 641-3000 Map

Mailing address

604 Pearl St
Monterey, CA 93940-3070

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 1942820121

Shawanda Lynette Petty's National Provider Identifier is 1942820121, issued on Apr 17, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Marina, CA. The record was last updated on Apr 17, 2020.