Organization
PETER DESMANGLES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER DESMANGLES LMHC, LCAC (MENTAL HEALTH THERAPIST)
(765) 586-8155
Entity
Organization
Contact information
Practice address
25 EXECUTIVE DR STE G, LAFAYETTE, IN 47905-4880
(765) 337-7757
Mailing address
25 EXECUTIVE DR STE G, LAFAYETTE, IN 47905-4880
(765) 337-7757
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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