Individual provider · Type 1 NPI

Allen Richard Petty I, LMSW, CAC

Mental Health Counselor · Dimondale, MI

NPI number 1477964690 Active

Practice location

181 Arlington Dr
Dimondale, MI 48821-9780

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6801070044 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1477964690

Allen Richard Petty I, LMSW, CAC's National Provider Identifier is 1477964690, issued on May 9, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dimondale, MI. The record was last updated on May 9, 2014.