Alice Petty-Hannum, MFT

NPI 1790989119 · on the registry since 2007 · sole proprietor

Practice

Address: 406 Chinn St
Santa Rosa, CA 95404
Phone: (707) 495-5350
Fax: (707) 570-2680
Organisation at this address: Bridges To Self Empowerment A Marriage And Family Therapist Corporatio
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California