Individual
BRIAN PETRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 775-3692
Mailing address
625 N 2ND ST, LA CRESCENT, MN 55947-1010
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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