Individual
PATRICIA PETRARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LADC
Contact information
Practice address
1794 LOOP RD, NORTHFIELD, VT 05663-6057
(347) 804-1550
Mailing address
1794 LOOP RD, NORTHFIELD, VT 05663-6057
(347) 804-1550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0134151
VT
101YM0800X
Mental Health Counselor
Primary
068.0135793
VT
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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