Individual
JEANNINE MARIE PETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCDCIII
Contact information
Practice address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
(440) 255-6348
Mailing address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
(440) 255-6348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
121142
OH
104100000X
Social Worker
0600839
OH
Other
Enumeration date
07/20/2012
Last updated
03/25/2014
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