KENNETH MICHAEL PETTIS

LODI, CA
NPI1699485540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  124105)
Enumeration Date2022-12-01
Last Update Date2022-12-01
Business Address
MR. KENNETH MICHAEL PETTIS AMFT
315 W PINE ST #3, 95240
LODI, CA 95240-4094
Phone number: 209-366-2273
Mailing Address
MR. KENNETH MICHAEL PETTIS AMFT
315 W PINE ST #3, 95240
LODI, CA 95240
Phone number: 209-366-2273
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