Teresa Petruccelli
Teresa Petruccelli is a Mental Health Counselor in Saint Paul, Minnesota. Qualified in 2023, 3 years ago. Registered with an NPI since 2024.
- Years since qualifying
- 3
- In the registry since
- 2024
Practice location Address checks out
871 Jefferson AveSaint Paul, MN 55102-2506
Phone: (612) 424-9983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1689414849 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 27, 2024 |
| Last updated in NPPES | May 27, 2024 |
| Certification date | May 27, 2024 |
| Mailing address | 871 Jefferson Ave, Saint Paul, MN 55102-2506 |
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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