Individual
ANDREA Z PETRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 PROSPECT PL, ALPHARETTA, GA 30005-5467
(762) 675-0075
Mailing address
390 PROSPECT PL, ALPHARETTA, GA 30005-5467
(762) 675-0075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
013942
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
NOT APPLICABLE - DO NOT HAVE ANY NUMBERS
—
Enumeration date
10/12/2018
Last updated
05/25/2023
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