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Individual

LISA PETRELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1700 CARGO CT, LOUISVILLE, KY 40299-1938
(502) 749-6754
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
(864) 436-7266
(864) 326-2088

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/15/2019
Last updated
04/15/2019
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