MS. DAMIENNE HUGENA AUGUSTA TABUSO PETOSKY
NPI 1710642962
Counselor - Addiction (Substance Use Disorder) in Cranberry Township, PA
Active since November 03, 2021
About Ms. Damienne Hugena Augusta Tabuso Petosky NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DAMIENNE HUGENA AUGUSTA TABUSO PETOSKY (NPI 1710642962) is an individual addiction (substance use disorder) provider in Cranberry Township, Pennsylvania and active in the NPI registry since November 2021.
NPPES Registry Identity
NPI1710642962
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. DAMIENNE HUGENA AUGUSTA TABUSO PETOSKY
Location Address301 SMITH DR STE 3Cranberry Township, PA 16066-4131
Mailing Address301 Smith Dr Ste 3Cranberry Township, PA 16066-4131
Phone(724) 779-2010
Sole ProprietorNo
Enumeration DateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1710642962 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
301 SMITH DR STE 3, Cranberry Township, PA 16066
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Licensed Practical Nurse
301 SMITH DR STE 3
CRANBERRY TOWNSHIP, PA 16066
CRANBERRY TOWNSHIP, PA 16066
Counselor (Addiction (Substance Use Disorder))
301 SMITH DR STE 3
CRANBERRY TOWNSHIP, PA 16066
CRANBERRY TOWNSHIP, PA 16066
Counselor (Addiction (Substance Use Disorder))
301 SMITH DR STE 3
CRANBERRY TOWNSHIP, PA 16066
CRANBERRY TOWNSHIP, PA 16066
Counselor (Addiction (Substance Use Disorder))
301 SMITH DR STE 3
CRANBERRY TOWNSHIP, PA 16066
CRANBERRY TOWNSHIP, PA 16066
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710642962, enumerated as an "individual" on November 03, 2021.
The provider is located at 301 SMITH DR STE 3 CRANBERRY TOWNSHIP, PA 16066 and the phone number is (724) 779-2010.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).