Individual provider · Type 1 NPI
Diane Lynn Petry, MA, LMHCA
Mental Health Counselor · Indianapolis, IN
NPI number
1972080661
Active
Practice location
9840 Westpoint Dr Ste 200
Indianapolis, IN 46256-3368
Fax (317) 585-9811
Mailing address
5784 N 600 E
Greenfield, IN 46140-9036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 88000447A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1972080661
Diane Lynn Petry, MA, LMHCA's National Provider Identifier is 1972080661, issued on Jul 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 25, 2018.