Individual provider · Type 1 NPI

Gus Petrogeorge

Marriage & Family Therapist · Mechanicsburg, PA

NPI number 1306210232 Active

Practice location

960 Century Dr
Mechanicsburg, PA 17055-4530

Mailing address

120 Old Schoolhouse Ln
Mechanicsburg, PA 17055-5665

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMF000664 (PA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1306210232

Gus Petrogeorge's National Provider Identifier is 1306210232, issued on Nov 16, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Mechanicsburg, PA. The record was last updated on Nov 16, 2015.