Individual
BIANCA PETRILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
9468 ELM ST, CHADWICKS, NY 13319-3519
(315) 542-3612
Mailing address
9468 ELM ST, CHADWICKS, NY 13319-3519
(315) 542-3612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012223
NY
Other
Enumeration date
03/18/2022
Last updated
10/17/2023
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