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Individual

BENJAMIN EDWARD PETTIT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RADT

Contact information

Practice address
PO BOX 93, HOLTVILLE, CA 92250-0093
(760) 556-5606
Mailing address
PO BOX 93, HOLTVILLE, CA 92250-0093
(760) 556-5606

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CA

Other

Enumeration date
03/20/2026
Last updated
03/20/2026
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