Individual
MICHAEL STEVEN PETREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
56 SOUTH MAIN STREET, LOA, UT 84747
(435) 836-2273
Mailing address
3961 S 17675 W, CEDAR CITY, UT 84720-8300
(435) 669-9852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
85482976010
UT
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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