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TASHIA NICOLE PETTY
NPI 1063175610
Counselor - Addiction (Substance Use Disorder) in El Cajon, CA

Active since October 20, 2021
1365 N JOHNSON AVE STE 111, EL CAJON, CA 92020(619) 440-4801 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Tashia Nicole Petty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TASHIA NICOLE PETTY (NPI 1063175610) is an individual addiction (substance use disorder) provider in El Cajon, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1063175610
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTASHIA NICOLE PETTY
Location Address1365 N JOHNSON AVE STE 111El Cajon, CA 92020-1649
Mailing Address1400 N Johnson Ave Ste 101El Cajon, CA 92020-1651 · (619) 442-0277
Phone(619) 440-4801
Sole ProprietorYes
Enumeration DateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
✔ NPI 1063175610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1365 N JOHNSON AVE STE 111, El Cajon, CA 92020
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC BLANK
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
JESSICA LYNNE DESSAUER
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
KENIA VARGAS
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
RACHEL ELLEN JACKSON
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
DENNIS PAUL GOULET HOLMES
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
CASSANDRA DAWN KINGSBURY
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
HOPE VIOLET STONEKING
Counselor (Addiction (Substance Use Disorder))
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801
HILLARY BRYANT
Counselor
1365 N JOHNSON AVE STE 111
EL CAJON, CA 92020
San Diego County (619) 440-4801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tashia Petty's NPI number?

The NPI number for Tashia Petty is 1063175610. It was assigned to this individual provider in the NPPES registry on October 20, 2021.

Where is Tashia Petty located?

Tashia Petty practices at 1365 N Johnson Ave Ste 111, El Cajon, CA 92020. The listed phone number is (619) 440-4801.

What is Tashia Petty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tashia Petty was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.