John William Petras, Ph.D.
Social Worker in Mount Pleasant, MI. Individual provider (NPI-1).
NPI number1881947653
StatusActive
Last updated in NPPESOct 18, 2012
Details
- NPI
- 1881947653
- Entity type
- Individual (NPI-1)
- Name
- Mr. John William Petras
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2012
- Last updated
- Oct 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 6801034726 | MI | Yes |
| 101Y00000X | Counselor | 6401000058 | MI | |
| 106H00000X | Marriage & Family Therapist | 4101005325 | MI |
Practice location
615 E. Wisconsin StreetMount Pleasant, MI 48858-2767
Phone 989-773-9600 · Fax 989-772-3387
Mailing address
615 E. Wisconsin StreetMount Pleasant, MI 48858-2767
Phone 989-773-9600 · Fax 989-772-3387
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All 30 Social Worker providers in Mount Pleasant · All 748 providers in Mount Pleasant
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