Petrucci Kackley, Andrea Christina

Petrucci Kackley, Andrea Christina is an individual health care provider with primary practice located at 2914 Hedgesville Road Apple Ridge Counseling Associates, Martinsburg WV 25403. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Petrucci Kackley, Andrea Christina can be contacted via phone (304) 754-8495.

Contact Information

Primary practice address
2914 Hedgesville Road Apple Ridge Counseling Associates Martinsburg WV 25403
Phone: (304) 754-8495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1119 West Virginia

Profile Details

NPI number 1265556039
LBN Legal business name Petrucci Kackley, Andrea Christina
Credentials MA LPC NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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