Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEO A PETROCCI, LPC
ActiveMR. THEO A PETROCCI, LPC is a Mental Health Counselor healthcare provider located in ROANOKE, Virginia. NPI 1922003458 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ROANOKE, VA
Registration Details
- NPI Number
- 1922003458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2005 (21.003436075746 yrs)
- Last Updated
- Mar 29, 2016
- License
-
0701000926 (VA)
Practice Information
- Address
-
16 WALNUT AVE SWROANOKE, VA, 240164719Browse VA providers · Browse ZIP 24016
- Phone
- 5403456468
- Fax
- 5403453204
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in ROANOKE, VA
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID L MORTELLARO | LPC, LMFT | 1851375836 |
| KATHLEEN MARIE CARROLL | LPC | 1437121191 |
| MRS. ANGELA BABCOCK BELL | LPC | 1326011230 |
| MR. KELLY L CLINEVELL | LPC | 1538132469 |
| MS. JENNIFER GWYN OGINZ | LPC | 1801848064 |
| MARTHA JEAN ALLMAN | LPC | 1548201130 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.