Individual
CARRIE L PETRUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
95 ALLENS CREEK RD, BUILDING 1, SUITE 113, ROCHESTER, NY 14618-3250
(585) 319-7882
Mailing address
95 ALLENS CREEK RD, BUILDING 1, SUITE 113, ROCHESTER, NY 14618-3250
(585) 319-7882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005144-1
NY
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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