CARRIE J. PETKAC M.A., L.P.C.
NPI 1306181953
Counselor - Professional in Edinboro, PA
Active since December 10, 2012
About Carrie J. Petkac M.a., L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARRIE J. PETKAC M.A., L.P.C. (NPI 1306181953) is an individual professional provider in Edinboro, Pennsylvania, licensed in Pennsylvania (PC006653) and active in the NPI registry since December 2012.
NPPES Registry Identity
NPI1306181953
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARRIE J. PETKACCredential: M.A., L.P.C.
Location Address5111 CRANE RDEdinboro, PA 16412-1683
Mailing Address5111 Crane RdEdinboro, PA 16412-1683
Phone(814) 882-3449
Sole ProprietorYes
Enumeration DateDecember 10, 2012
✔ NPI 1306181953 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC006653
5111 CRANE RD, Edinboro, PA 16412
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306181953, enumerated as an "individual" on December 10, 2012.
The provider is located at 5111 CRANE RD EDINBORO, PA 16412 and the phone number is (814) 882-3449.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
