Organization · Type 2 NPI
G. Wells Petras, LLC
Mental Health Counselor · Suwanee, GA
NPI number
1629210430
Active
Practice location
3675 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2328
Mailing address
PO Box 1541
Commerce, GA 30529-0030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701003613 (VA) |
| Mental Health Counselor Primary | 101YM0800X | LPC004835 (GA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1629210430
G. Wells Petras, LLC's National Provider Identifier is 1629210430, issued on Mar 26, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Suwanee, GA. The record was last updated on Mar 26, 2009.