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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6801070044 (MI) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Dimondale
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.