Individual
MR. JOHN WILLIAM PETRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
615 E. WISCONSIN STREET, MOUNT PLEASANT, MI 48858-2767
(989) 773-9600
(989) 772-3387
Mailing address
615 E. WISCONSIN STREET, MOUNT PLEASANT, MI 48858-2767
(989) 773-9600
(989) 772-3387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401000058
MI
104100000X
Social Worker
Primary
6801034726
MI
106H00000X
Marriage & Family Therapist
4101005325
MI
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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