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Jennifer Ann Petullo
Mental Health Counselor in Eureka, California
NPI 1114264371

Jennifer Ann Petullo is a Mental Health Counselor based in Eureka, CA and is specialized in Mental Health. Jennifer Ann Petullo practices in Eureka, CA. The NPI Number for Jennifer Ann Petullo is 1114264371 and holds a License No. (California).

The current practice location address for Jennifer Ann Petullo is 1802 California St, Eureka, CA and can be reached out via phone at 707-443-7358.

Location: 1802 California St, Eureka, CA, 95501-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114264371
Provider Name
Jennifer Ann Petullo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1802 California St, Eureka, CA, 95501-2808
Phone Number
707-443-7358
Fax Number
Provider Enumeration Date
01/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1802 California St
City
Eureka
State
California
Zip
95501-2808
Phone Number
707-443-7358
Fax Number
person
Provider Business Mailing Address Details
Address
1802 California St
City
Eureka
State
California
Zip
95501-2808
Phone Number
707-443-7358
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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