Individual
JOHN P. PESANIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
422 W MARKET STREET, WORCESTER COUNTY HEALTH DEPARTMENT MARKET SQUARE, SNOW HILL, MD 21863
(410) 632-4510
(410) 632-4933
Mailing address
5242 PEARL DRIVE, CHINCOTEAGUE, VA 23336
(757) 336-3535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA293
MD
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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