| Petracco Counseling And Consulting Llc | |
|
22912 Bay Cedar Dr Land O Lakes FL 34639-4796 | |
| (973) 722-5880 | |
| Not Available |
| Full Name | Petracco Counseling And Consulting Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 22912 Bay Cedar Dr, Land O Lakes, Florida |
| Authorized Official Name and Position | Heidi A Petracco (OWNER AND OPERATOR) |
| Authorized Official Contact | 9737225880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petracco Counseling And Consulting Llc 22912 Bay Cedar Dr Land O Lakes FL 34639-4796 Ph: () - | Petracco Counseling And Consulting Llc 22912 Bay Cedar Dr Land O Lakes FL 34639-4796 Ph: (973) 722-5880 |
| NPI Number | 1598004319 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 12/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598004319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9771 (Florida) | Primary |
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