person
Andrea Petrovich, LPC
Professional Counselor in Longview, Texas
NPI 1639181548

Andrea Petrovich is a Professional Counselor based in Longview, TX and is specialized in Professional. Andrea Petrovich practices in Longview, TX and has the professional credentials of LPC. The NPI Number for Andrea Petrovich is 1639181548 and holds a License No. MH6732 (Texas).

The current practice location address for Andrea Petrovich is 107 Woodbine Place, Longview, TX and can be reached out via phone at 903-757-8194 and via fax at 903-757-8294.

Location: 107 Woodbine Place, Longview, TX, 75608
person
Provider Profile Details
NPI Number
1639181548
Provider Name
Andrea Petrovich
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
107 Woodbine Place, Longview, TX, 75608
Phone Number
903-757-8194
Fax Number
903-757-8294
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
761879400 05 FL
institution
Provider Business Practice Location Address Details
Address
107 Woodbine Place
City
State
Zip
75608
Phone Number
903-757-8194
Fax Number
903-757-8294
person
Provider Business Mailing Address Details
Address
107 Woodbine Place
City
State
Zip
75608
Phone Number
903-757-8194
Fax Number
903-757-8294
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
66633-TX (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MH6732 (Florida)
Definition
Definition to come...
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