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Mr. Kenneth Michael Pettis JR., AMFT
Marriage & Family Therapist in Lodi, California
NPI 1699485540

Kenneth Michael Pettis JR. is a Marriage & Family Therapist based in Lodi, CA. Kenneth Michael Pettis JR. practices in Lodi, CA and has the professional credentials of AMFT. The NPI Number for Kenneth Michael Pettis JR. is 1699485540 and holds a License No. 124105 (California).

The current practice location address for Kenneth Michael Pettis JR. is 315 W Pine St #3, 95240, Lodi, CA and can be reached out via phone at 209-366-2273.

Location: 315 W Pine St #3, 95240, Lodi, CA, 95240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699485540
Provider Name
Kenneth Michael Pettis JR.
Credential
AMFT
Provider Entity Type
Individual
Gender
Male
Address
315 W Pine St #3, 95240, Lodi, CA, 95240
Phone Number
209-366-2273
Fax Number
Provider Enumeration Date
12/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 W Pine St #3, 95240
City
Lodi
State
California
Zip
95240-4094
Phone Number
209-366-2273
Fax Number
person
Provider Business Mailing Address Details
Address
315 W Pine St #3, 95240
City
Lodi
State
California
Zip
95240-4094
Phone Number
209-366-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
124105 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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