Kerstin R Peterson, MA, LCAS
Counselor, Professional in Cary, NC. Individual provider (NPI-1).
NPI number1760624837
StatusActive
Last updated in NPPESApr 3, 2009
Details
- NPI
- 1760624837
- Entity type
- Individual (NPI-1)
- Name
- Kerstin R Peterson
- Credential
- MA, LCAS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2009
- Last updated
- Apr 3, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1385 | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1385 | NC |
Practice location
436 W Park StCary, NC 27511-3115
Phone 919-467-0753
Mailing address
436 W Park StCary, NC 27511-3115
Phone 919-467-0753
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