SearchUtah101YM0800X

Michael Petree, ACMHC

NPI 1154767432 · on the registry since 2013

Practice

Address
56 South Main Street
Loa, UT 84747
Phone
(435) 836-2273
Organisation at this address
Legacy Outdoor Adventures Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah