Provider Demographics
NPI:1811934102
Name:BERNARDINA, ADRIENNE (LPC)
Entity type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:
Last Name:BERNARDINA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 WASHINGTON RD STE TL10
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1926
Mailing Address - Country:US
Mailing Address - Phone:412-889-8737
Mailing Address - Fax:
Practice Address - Street 1:615 WASHINGTON RD STE TL10
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1926
Practice Address - Country:US
Practice Address - Phone:412-889-8737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002861101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional