Individual provider · Type 1 NPI

Jordan Nicole Petitt, LMFT

Mental Health Counselor · Los Angeles, CA

NPI number 1417547753 Active

Practice location

2904 Rowena Ave
Los Angeles, CA 90039-2042

Call (818) 381-9723 Map

Mailing address

848 N California St
Burbank, CA 91505-2919

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X137462 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1417547753

Jordan Nicole Petitt, LMFT's National Provider Identifier is 1417547753, issued on Jan 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 12, 2023.