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Michelle L.f. Petruzzello, LPC
Professional Counselor in Leesburg, Virginia
NPI 1891803565

Michelle L.f. Petruzzello is a Professional Counselor based in Leesburg, VA and is specialized in Professional. Michelle L.f. Petruzzello practices in Leesburg, VA and has the professional credentials of LPC. The NPI Number for Michelle L.f. Petruzzello is 1891803565 and holds a License No. (Virginia).

The current practice location address for Michelle L.f. Petruzzello is 102 Heritage Way Ne Ste 302, Leesburg, VA and can be reached out via phone at 703-777-5100.

Location: 102 Heritage Way Ne Ste 302, Leesburg, VA, 20176-4544
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Provider Profile Details
NPI Number
1891803565
Provider Name
Michelle L.f. Petruzzello
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
102 Heritage Way Ne Ste 302, Leesburg, VA, 20176-4544
Phone Number
703-777-5100
Fax Number
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
293843 01 VA AMERIGROUP
183952 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
102 Heritage Way Ne Ste 302
City
State
Zip
20176-4544
Phone Number
703-777-5100
Fax Number
person
Provider Business Mailing Address Details
Address
102 Heritage Way Ne Ste 302
City
State
Zip
20176-4544
Phone Number
703-777-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Virginia)
Definition
Definition to come...
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