Individual provider · Type 1 NPI

Jennifer Ann Petullo

Mental Health Counselor · Eureka, CA

NPI number 1114264371 Active

Practice location

1802 California St
Eureka, CA 95501-2808

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114264371

Jennifer Ann Petullo's National Provider Identifier is 1114264371, issued on Jan 8, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eureka, CA. The record was last updated on Jan 8, 2013.