| Mr Kenneth Michael Pettis Jr, LMFT | |
|
315 W Pine St #3, 95240, Lodi, CA 95240-4094 | |
| (209) 366-2273 | |
| Not Available |
| Full Name | Mr Kenneth Michael Pettis Jr |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 315 W Pine St #3, 95240, Lodi, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699485540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 150072 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Michael Pettis Jr, LMFT 5250 Claremont Ave Ste 118, Stockton, CA 95207-5700 Ph: (719) 200-2238 | Mr Kenneth Michael Pettis Jr, LMFT 315 W Pine St #3, 95240, Lodi, CA 95240-4094 Ph: (209) 366-2273 |
Mr. John Brian Ford, MFTI Couples Therapy Medicare: Medicare Enrolled Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5828 | |
Mrs. Kimberly Ann Laskowski, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 404 W Pine St Ste 1, Lodi, CA 95240 Phone: 209-339-1600 | |
Ms. A. Nanette Purdy-diocson, MFTI # 55302 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5838 | |
Julie L. Yee, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1930 Tienda Dr, Suite 102, Lodi, CA 95242 Phone: 209-986-3597 | |
La Toya Littesy, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 315 W Pine St Ste 3, Lodi, CA 95240 Phone: 209-366-2273 | |
Kari Ann Seaton, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13520 E Live Oak Rd, Lodi, CA 95240 Phone: 209-331-2182 | |
Linda L Recuparo, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5800 Fax: 209-340-5804 |