National Provider Identifier Database

KRISTOFER K PETTWAY
Prevention Professional

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.


Contact Information

KRISTOFER K PETTWAY
411 S NORMADE AVE APT 732
LOS ANGELES, CA90020-3396
Phone: 516-919-0061
Fax:
Website:
Specialty Taxonomy Code
* Prevention Professional 405300000X

* Indicates primary specialty

NPI Profile & details for KRISTOFER K PETTWAY

NPI Number 1427783315
Credentials
Entity Individual
Enumeration date 07/23/2022
Last updated 07/23/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 19393832
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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