person
Mr. Theo A Petrocci, LPC
Mental Health Counselor in Roanoke, Virginia
NPI 1922003458

Theo A Petrocci is a Mental Health Counselor based in Richmond, VA and is specialized in Mental Health. Theo A Petrocci practices in Roanoke, VA and has the professional credentials of LPC. The NPI Number for Theo A Petrocci is 1922003458 and holds a License No. 0701000926 (Virginia).

The current practice location address for Theo A Petrocci is 16 Walnut Ave Sw, Roanoke, VA and can be reached out via phone at 540-345-6468 and via fax at 540-345-3204. You can also correspond with Theo A Petrocci through the mailing address at 3500 GROVE AVE, RICHMOND, VA - 23221-2220 (mailing address contact number: 804-822-0271).

Location: 16 Walnut Ave Sw, Roanoke, VA, 23221-2220
person
Provider Profile Details
NPI Number
1922003458
Provider Name
Theo A Petrocci
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
16 Walnut Ave Sw, Roanoke, VA, 23221-2220
Phone Number
540-345-6468
Fax Number
540-345-3204
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005401437 05 VA
institution
Provider Business Practice Location Address Details
Address
16 Walnut Ave Sw
City
State
Zip
24016-4719
Phone Number
540-345-6468
Fax Number
540-345-3204
person
Provider Business Mailing Address Details
Address
3500 Grove Ave
City
State
Zip
23221-2220
Phone Number
804-822-0271
Fax Number
804-353-3939
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701000926 (Virginia)
Definition
Definition to come...
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