Provider Information for 1417415050
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JARET ROMANO MA, NCC, LPC
Sex: Male
NPI: 1417415050
Last Updated: 2023-06-11
Certification Date: 2023-06-11
Certification Date: 2023-06-11
Details
| Name | Value | ||||||||
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| NPI | 1417415050 | ||||||||
| Enumeration Date | 2019-03-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 140 SMITH ST CANONSBURG, PA 15317-1750 United States Phone: 724-288-8634 | Fax: | ||||||||
| Primary Practice Address | 140 SMITH ST CANONSBURG, PA 15317-1750 United States Phone: 242-888-6347 | Fax:205-509-3665 | ||||||||
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