Individual
ANDRIA GENEVA PETRY-SIAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.M.H.C.
Contact information
Practice address
6221 PHYSICIANS CT, EVANSVILLE, IN 47715-4031
(812) 491-7739
Mailing address
6221 PHYSICIANS CT, EVANSVILLE, IN 47715-4031
(812) 491-7739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002130A
IN
Other
Enumeration date
11/18/2009
Last updated
12/17/2009
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