Individual provider · Type 1 NPI

Lorene Renee Peta, LPC

Professional Counselor · Havertown, PA

NPI number 1619253812 Active

Practice location

2010 W Chester Pike, Suite 314
Havertown, PA 19083-2700

Call (610) 892-3800 Map

Fax (484) 468-1412

Mailing address

1055 E Baltimore Pike, Suite 300
Media, PA 19063-5173

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC001204 (PA)

Professional Counselor: Definition to come...

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About NPI 1619253812

Lorene Renee Peta, LPC's National Provider Identifier is 1619253812, issued on Nov 1, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Havertown, PA. The record was last updated on Nov 1, 2011.