Individual
ANN MARIE PETRICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 PUBLIC SQ STE 105, WILLOUGHBY, OH 44094-7864
(440) 488-4081
Mailing address
36 PUBLIC SQ STE 105, WILLOUGHBY, OH 44094-7864
(404) 884-0814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1100475
OH
101YP2500X
Professional Counselor
Primary
E.1100475
OH
Other
Enumeration date
01/16/2012
Last updated
01/31/2024
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