Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE TERRELL PETTIS
ActiveDOMINIQUE TERRELL PETTIS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in COLTON, California. NPI 1184968570 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · COLTON, CA
Registration Details
- NPI Number
- 1184968570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2012 (13.737227306141 yrs)
- Last Updated
- Nov 26, 2012
Practice Information
- Address
-
2275 E. COOLEY DRCOLTON, CA, 92324Browse CA providers · Browse ZIP 92324
- Phone
- 9093701777
- Fax
- 9093701776
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in COLTON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. RANDALL LYLE KERR | MFTI, CAS II | 1457459877 |
| MS. SUSAN MARIE HEISLER | RAS | 1588708077 |
| BIRGIT CLAUSSEN | CATC-CAADE 051096 | 1730213422 |
| DUSTY RAY BUFORD | CATC - CAADE 040854 | 1750415592 |
| MS. GLORIA ROSE CAMPBELL | CAADE | 1467586941 |
| MRS. SUSAN LEE WHITE | CATC-CAADE-040950 | 1699809327 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.