Petelo, Tisha

Petelo, Tisha is an individual health care provider with primary practice located at Fiatele Teo Bldg. Airport Road 1005, Pago Pago AS 96799-1005. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Petelo, Tisha can be contacted via phone (684) 699-3725.

Contact Information

Primary practice address
Fiatele Teo Bldg. Airport Road 1005 Pago Pago AS 96799-1005
Phone: (684) 699-3725
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 809 Colorado

Profile Details

NPI number 1487980611
LBN Legal business name Petelo, Tisha
Credentials LCSW, MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2009
Last updated Oct 22nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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