Mr. Kenneth Michael Pettis Jr., LMFT
Mr. Kenneth Michael Pettis Jr., LMFT is a Marriage & Family Therapist in Lodi, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
What do these letters mean?
- LMFT — Licensed Marriage and Family Therapist
- A therapist licensed to treat couples and families.
Practice location Address checks out
315 W Pine St #3 95240Lodi, CA 95240-4094
Phone: (209) 366-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 150072 (CA) |
|---|
Record details
| NPI number | 1699485540 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LMFT |
| Sole proprietor | No |
| NPI enumerated | December 1, 2022 |
| Last updated in NPPES | October 15, 2024 |
| Certification date | October 15, 2024 |
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Regina Ann Nordman, MFT
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Christa Pera, LMFT
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