Individual provider · Type 1 NPI

John D. Petry, LPCC

Professional Counselor · Springfield, OH

NPI number 1104108323 Active

Practice location

474 N Yellow Springs St
Springfield, OH 45504-2463

Mailing address

2781 Hilton Dr
Kettering, OH 45409-1752

Other practice locations

  • 2621 Dryden Rd Ste 300, Moraine, OH 45439-1600 · (937) 479-4828

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.1000175 (OH)

Professional Counselor: Definition to come...

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About NPI 1104108323

John D. Petry, LPCC's National Provider Identifier is 1104108323, issued on Sep 14, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, OH. The record was last updated on Nov 11, 2019.