Search › California › 106H00000X
Kenneth Pettis, LMFT
NPI 1699485540 · on the registry since 2022
Practice
- Address
- 315 W Pine St #3, 95240
Lodi, CA 95240 - Phone
- (209) 366-2273
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California