JATHANIEL A PETTITT

CERRITOS, CA
NPI1629770904
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  LPCC10824)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: AZ  LPC-19640)
101YM0800X Counselor, Mental Health
(Licence: TX  66158)
101YP2500X Counselor, Professional
(Licence: AZ  LPC-19640)
101YP2500X Counselor, Professional
(Licence: TX  66158)
101YP2500X Counselor, Professional
(Licence: CA  LPCC10824)
Enumeration Date2023-03-20
Last Update Date2023-03-20
Business Address
Mr. JATHANIEL A PETTITT LPCC
12900 PARK PLAZA DR
CERRITOS, CA 90703-9329
Phone number: 305-630-1346
Mailing Address
Mr. JATHANIEL A PETTITT LPCC
17378 W PIMA ST
GOODYEAR, AZ 85338-1962
Phone number: 972-841-9262