MRS. ANDREA CHRISTINA PETRUCCI KACKLEY (NPI# 1265556039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265556039 |
Entity Type | Individual |
Full Name | MRS. ANDREA CHRISTINA PETRUCCI KACKLEY |
Other Name | ANDREA C KACKLEY |
Credential | MA LPC NCC |
Practice Address |
2914 Hedgesville Road Apple Ridge Counseling Associates Martinsburg WV 25403 |
Practice Telephone | 3047548495 |
Mailing Telephone | 3047548495 |
Enumeration Date | 2007-03-19 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
1119 | WV | Behavioral Health & Social Service Providers |
Street Address |
2914 HEDGESVILLE ROAD APPLE RIDGE COUNSELING ASSOCIATES |
City | MARTINSBURG |
State | WV |
Zip Code | 25403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366912339 | Elizabeth Hutzler | Registered Nurse | Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 | 2018-12-03 |
1326442146 | Jennifer Anne Markovits | Pharmacist | 1171 Horizon Way, Martinsburg, WV 25403 | 2014-10-22 |
1255763819 | Parkhill Counseling, LLC | Counselor | 93 Crimson Cr., Martinsburg, WV 25403 | 2013-08-06 |
1568935583 | Joy Gesford | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2019-01-03 |
1295203818 | Tina Cameron | Registered Nurse | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 | 2018-11-13 |
1376718882 | Patricia M Hartman | Dentist | 50 Street of Dreams, Martinsburg, WV 25403 | 2008-04-25 |
1700217585 | Thais Gonzalez | Nurse's Aide | 416 Gantt Dr, Martinsburg, WV 25403-0281 | 2013-12-04 |
1407319726 | Kimberly Anne Saul | Nurse Practitioner | 3 Ceritos Trl, Martinsburg, WV 25403-0300 | 2019-04-12 |
1962745950 | Jason Bryce Swalm | Emergency Medicine | 3 Ceritos Trail, Martinsburg, WV 25403-0300 | 2013-03-28 |
1598212185 | Magnolia Family Medicine, Pllc | Family Medicine | 3 Ceritos Trail, Martinsburg, WV 25403-0300 | 2016-09-01 |
Find all providers in zip 25403 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760630743 | Timothy Vaughn | Counselor | 312 W King St, Martinsburg, WV 25401-3202 | 2008-09-03 |
1124158613 | Sandra Kline Mortimer | Counselor | 213 W John St, Martinsburg, WV 25401-3221 | 2007-03-06 |
1346381324 | John W. Streeter | Counselor | 236 W Martin St, Martinsburg, WV 25401-3331 | 2007-02-10 |
1922157353 | Cindy G Burdette | Counselor | 1105 New York Avenue, Martinsburg, WV 25401 | 2007-01-08 |
1235223041 | John D. Clark | Counselor | 235 S Water St, Martinsburg, WV 25401-4241 | 2006-10-03 |
1033716261 | Diverse Counseling Solutions LLC | Counselor | 142 N Queen St, Martinsburg, WV 25401-3312 | 2020-10-01 |
1114538766 | Ruth Ann Veach | Counselor | 318 W Burke St, Martinsburg, WV 25401-3324 | 2020-08-16 |
1831728260 | Elizabeth S Kantor-bright | Counselor | 312 W King St, Martinsburg, WV 25401-3202 | 2020-04-07 |
1134757404 | Brittany Nicole Russell | Counselor | 312 W King St, Martinsburg, WV 25401-3202 | 2020-03-31 |
1255983912 | Amanda Jo Huffman | Counselor | 318 W Burke St, Martinsburg, WV 25401-3324 | 2019-07-12 |
Find all providers in MARTINSBURG |
City | MARTINSBURG |
Zip Code | 25403 |
Please comment or provide details below to improve the information on MRS. ANDREA CHRISTINA PETRUCCI KACKLEY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.