Individual
DIANE LYNN PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHCA
Contact information
Practice address
9840 WESTPOINT DR STE 200, INDIANAPOLIS, IN 46256-3368
(317) 585-1060
(317) 585-9811
Mailing address
5784 N 600 E, GREENFIELD, IN 46140-9036
(317) 409-1035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000447A
IN
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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