MRS. ANDREA CHRISTINA PETRUCCI KACKLEY


Address: 2914 Hedgesville Road, Apple Ridge Counseling Associates, Martinsburg, WV 25403
Phone: 3047548495

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
1119 WV Behavioral Health & Social Service Providers

Office Location

Street Address 2914 HEDGESVILLE ROAD
APPLE RIDGE COUNSELING ASSOCIATES
City MARTINSBURG
State WV
Zip Code 25403

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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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MARTINSBURG
Zip Code 25403

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Dataset Information

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.

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