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Individual

MR. NICHOLAS JOEL PETRUCELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAC III

Contact information

Practice address
7251 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 468-6191
(303) 321-3556
Mailing address
7251 E 49TH AVE, COMMERCE CITY, CO 80022-4714
(303) 468-6191
(303) 321-3556

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6919
CO

Other

Enumeration date
12/02/2010
Last updated
01/13/2014
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