Search › California › 101YM0800X
Jathaniel Pettitt, LPCC
NPI 1629770904 · on the registry since 2023 · sole proprietor
Practice
- Address
- 12900 Park Plaza Dr
Cerritos, CA 90703 - Phone
- (305) 630-1346
- Organisation at this address
- Caremore
Caremore Health Plan
Caremore Medical Group
Caremore Medical Group Inc
Caremore Ipa Of New York, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 87
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
101YM0800X
101YP2500X
101YP2500X
101YP2500X - Licence states on file
- AZ, TX, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California