IndividualActive
Brian Petry
NPI 1578359758 · Pastoral Counselor · La Crosse, WI
Provider details
- NPI number
- 1578359758
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1900 South Ave
La Crosse, WI 54601-5467
Phone: (608) 775-3692
Approximate (ZIP-level) locationGet directions
Mailing address
625 N 2nd St
La Crescent, MN 55947-1010
Registry dates
- Enumerated
- 2025-04-16
- Last updated
- 2025-04-16
- Certified
- 2025-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.