Individual
MR. PETER RICHARD DESMANGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHC, LCAC
Contact information
Practice address
114 EXECUTIVE DR STE G, LAFAYETTE, IN 47905-4875
(765) 337-7757
(765) 446-0010
Mailing address
114 EXECUTIVE DR STE G, LAFAYETTE, IN 47905-4875
(653) 377-7577
(765) 446-0010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001705A
IN
Other
Enumeration date
04/26/2007
Last updated
03/26/2021
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