Individual
MISS JESSICA SUSAN PETRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7134 GRAND PRAIRIE DR, COLORADO SPRINGS, CO 80923-8763
(970) 633-0925
Mailing address
2114 BONNYWOOD LN APT 202, SILVER SPRING, MD 20902-5217
(301) 903-3875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0014067
CO
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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