Individual
DANIELLE PETRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203
(315) 472-4471
Mailing address
1045 JAMES ST STE 100, SYRACUSE, NY 13203-2758
(315) 472-4471
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001862-01
NY
Other
Enumeration date
10/26/2016
Last updated
12/03/2021
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