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Heather Petrenko, PLPC
Mental Health Counselor in Union, Missouri
NPI 1477652527

Heather Petrenko is a Mental Health Counselor based in Union, MO and is specialized in Mental Health. Heather Petrenko practices in Union, MO and has the professional credentials of PLPC. The NPI Number for Heather Petrenko is 1477652527 and holds a License No. 2024032976 (Missouri).

The current practice location address for Heather Petrenko is 500 Clark Ave Ste Q, Union, MO and can be reached out via phone at 636-249-7698.

Location: 500 Clark Ave Ste Q, Union, MO, 63084-1004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477652527
Provider Name
Heather Petrenko
Credential
PLPC
Provider Entity Type
Individual
Gender
Female
Address
500 Clark Ave Ste Q, Union, MO, 63084-1004
Phone Number
636-249-7698
Fax Number
Provider Enumeration Date
09/22/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
838042000 05 TN
institution
Provider Business Practice Location Address Details
Address
500 Clark Ave Ste Q
City
Union
State
Missouri
Zip
63084-1004
Phone Number
636-249-7698
Fax Number
person
Provider Business Mailing Address Details
Address
500 Clark Ave Ste Q
City
Union
State
Missouri
Zip
63084-1004
Phone Number
636-249-7698
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2024032976 (Missouri)
Definition
Definition to come...
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