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Organization
BRIAN PETRY LICENSED PROFESSIONAL CLINICAL COUNSELOR INC.
Active
Organization
BRIAN PETRY LICENSED PROFESSIONAL CLINICAL COUNSELOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PETRY MA, MBA, LPCC, LMFT (CEO)
(951) 344-1444
Entity
Organization
Contact information
Practice address
10275 HOLE AVE UNIT 7083, RIVERSIDE, CA 92513-3404
(951) 344-1444
Mailing address
PO BOX 7083, RIVERSIDE, CA 92513-7083
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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