Mrs. Elektra Petrucci
Mrs. Elektra Petrucci is a Mental Health Counselor in Ferndale, Michigan. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Michigan.
- Years since qualifying
- 3
- Licensed in
- MI
- In the registry since
- 2023
Practice location Address checks out
901 Livernois StFerndale, MI 48220-2319
Phone: (248) 397-5346
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 6451023185 (MI) |
|---|
Record details
| NPI number | 1528848843 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2023 |
| Last updated in NPPES | October 3, 2023 |
| Certification date | August 6, 2023 |
| Mailing address | 901 Livernois St, Ferndale, MI 48220-2319 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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