Pettry, Archie Maurice

Pettry, Archie Maurice is an sole proprietor health care provider with primary practice located at 701 Antler Dr Ste 110 , Casper WY 82601-1747. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Pettry, Archie Maurice can be contacted via phone (307) 466-8008.

Contact Information

Primary practice address
701 Antler Dr Ste 110 Casper WY 82601-1747
Phone: (307) 466-8008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-1522 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-1522 Wyoming

Profile Details

NPI number 1821434622
LBN Legal business name Pettry, Archie Maurice
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2013
Last updated May 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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