Individual
JENNA NICOLE PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N BROADWAY, ESCONDIDO, CA 92026-2015
(800) 659-1522
Mailing address
1535 N BROADWAY, ESCONDIDO, CA 92026-2015
(800) 659-1522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15425
CA
106H00000X
Marriage & Family Therapist
143662
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2022
Last updated
05/07/2026
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