KAITLIN M PETRILLO CLC NPI 1558090860

NPI Information

Kaitlin M Petrillo, CLC is a counselor in Ronkonkoma, NY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Kaitlin M Petrillo, CLC NPI is 1558090860. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18 BORMAN CT
RONKONKOMA, NY
ZIP 11779-981
Phone: (631) 219-4992

The enumeration date for this NPI number is 6/10/2022 and was last updated on 6/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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