Individual provider · Type 1 NPI

Ryan Nicholas Petrecca

Mental Health Counselor · Newport Beach, CA

NPI number 1376296665 Active

Practice location

1151 Dove St Ste 150
Newport Beach, CA 92660-2837

Call (949) 630-8290 Map

Mailing address

12912 Brookhurst St Ste 480
Garden Grove, CA 92840-4867

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376296665

Ryan Nicholas Petrecca's National Provider Identifier is 1376296665, issued on Jan 27, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newport Beach, CA. The record was last updated on Oct 27, 2026.