Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH MICHAEL PETTIS JR., LMFT
ActiveMR. KENNETH MICHAEL PETTIS JR., LMFT is a Marriage & Family Therapist healthcare provider located in LODI, California. NPI 1699485540 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · LODI, CA
Registration Details
- NPI Number
- 1699485540
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2022 (3.7135744250354 yrs)
- Last Updated
- Oct 15, 2024
- License
-
150072 (CA)
Practice Information
- Address
-
315 W PINE ST #3, 95240LODI, CA, 952404094Browse CA providers · Browse ZIP 95240
- Phone
- 2093662273
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in LODI, CA
| Name | Credential | NPI |
|---|---|---|
| MR. KEITH DANIEL MCCANN | LMFT | 1609985712 |
| MR. VICTOR CHARLES KOCH JR. | MFT | 1477662393 |
| MRS. KATHARINE CAGLE BRYDA | LMFT | 1780796011 |
| JULIE L. YEE | MFT | 1104937689 |
| MR. JOHN BRIAN FORD | MFTI | 1033212543 |
| MRS. LYNN ANE COOK | — | 1457450991 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.