Threadgill-Powderll, Johnetta Elaine

Threadgill-Powderll, Johnetta Elaine is an sole proprietor health care provider with primary practice located at 17057 Foothill Blvd Ste 205 , Fontana CA 92335-3523. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Threadgill-Powderll, Johnetta Elaine can be contacted via phone (909) 693-3177.

Contact Information

Primary practice address
17057 Foothill Blvd Ste 205 Fontana CA 92335-3523
Phone: (909) 693-3177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X APCC7643 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT118324 California

Profile Details

NPI number 1841874278
LBN Legal business name Threadgill-Powderll, Johnetta Elaine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2021
Last updated May 11th, 2021 - about 5 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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