Individual
PIETRO VINCENZO MARTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
505 S 12TH AVE W STE 1, VIRGINIA, MN 55792-2001
(218) 749-2877
Mailing address
7877 BIG RICE LAKE RD, VIRGINIA, MN 55792-8068
(218) 290-2366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2024
MN
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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