Most Relevant Information
Provider Data
| NPI Number: | 1003354705 |
| Provider Name: | BETHANY ROSE ANN PETRONELLA LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC009119 |
Most Important Dates
| Enumeration Date: | 02/02/2017 |
| Last Updated: | 02/02/2017 |
Provider Practice Location
1303 HIGHTOWER TRL
230
SANDY SPRINGS
GA
303502962
Practice Location Phone/Fax
| Phone: | 6783957922 |
| Fax: | 6789546589 |
Provider Mailing Location
1303 HIGHTOWER TRL
230
SANDY SPRINGS
GA
303502962
Provider Mailing Phone/Fax
| Phone: | 6783957922 |
| Fax: | 6789546589 |