person
Mr. Jathaniel A Pettitt, LPCC
Mental Health Counselor in Cerritos, California
NPI 1629770904

Jathaniel A Pettitt is a Mental Health Counselor based in Goodyear, CA and is specialized in Mental Health. Jathaniel A Pettitt practices in Cerritos, CA and has the professional credentials of LPCC. The NPI Number for Jathaniel A Pettitt is 1629770904 and holds a License No. LPC-19640 (California).

The current practice location address for Jathaniel A Pettitt is 12900 Park Plaza Dr, Cerritos, CA and can be reached out via phone at 305-630-1346.

Location: 12900 Park Plaza Dr, Cerritos, CA, 85338-1962
person
Provider Profile Details
NPI Number
1629770904
Provider Name
Jathaniel A Pettitt
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
12900 Park Plaza Dr, Cerritos, CA, 85338-1962
Phone Number
305-630-1346
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12900 Park Plaza Dr
City
State
Zip
90703-9329
Phone Number
305-630-1346
Fax Number
person
Provider Business Mailing Address Details
Address
12900 Park Plaza Dr
City
State
Zip
90703-9329
Phone Number
305-630-1346
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
66158 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-19640 (Arizona)
Definition
Definition to come...
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