Individual
JENNIFER PETIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCAT
Contact information
Practice address
1706 EMPIRE BLVD APT 24, WEBSTER, NY 14580-2134
(585) 750-8939
Mailing address
1706 EMPIRE BLVD APT 24, WEBSTER, NY 14580-2134
(585) 750-8939
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002098
NY
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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