Individual
JACQUELINE PETRUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
108 CLARKS LN, MARS, PA 16046-2924
(412) 584-0716
Mailing address
108 CLARKS LN, MARS, PA 16046-2924
(412) 584-0716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC009924
PA
101YP2500X
Professional Counselor
Primary
PC009924
PA
Other
Enumeration date
10/19/2017
Last updated
09/16/2024
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