Individual
ALLEN RICHARD PETTY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW,CAC
Contact information
Practice address
181 ARLINGTON DR, DIMONDALE, MI 48821-9780
(517) 525-6544
Mailing address
181 ARLINGTON DR, DIMONDALE, MI 48821-9780
(517) 525-6544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801070044
MI
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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