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Amy Peterson, LPC-IT

Counselor, Professional in Mount Pleasant, WI. Individual provider (NPI-1).

NPI number1679110779
StatusActive
Last updated in NPPESDec 8, 2019

Details

NPI
1679110779
Entity type
Individual (NPI-1)
Name
Amy Peterson
Credential
LPC-IT
Sex
Female
Sole proprietor
No
Enumeration date
Dec 8, 2019
Certification date
Dec 8, 2019
Last updated
Dec 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional4510226WIYes

Practice location

6233 Durand Ave Ste F
Mount Pleasant, WI 53406-4961

Phone 262-554-8165

Mailing address

6905 Bobolink Rd
Racine, WI 53402-1344

Phone 262-221-7200

Other practice locations

6233 Durand Ave Ste F
Mount Pleasant, WI 53406-4961

Phone 262-554-8165

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