IndividualActive
Archie Pettry, M.S.
NPI 1821434622 · Professional Counselor · Casper, WY
Provider details
- NPI number
- 1821434622
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LPC-1522 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
701 Antler Dr Ste 110
Casper, WY 82601-1747
Phone: (307) 466-8008
Approximate (ZIP-level) locationGet directions
Mailing address
701 Antler Dr Ste 110
Casper, WY 82601-1747
Registry dates
- Enumerated
- 2013-05-20
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.