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Individual
AMIE PETERSON
Active
Individual
AMIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPCC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1667
ND
101YM0800X
Mental Health Counselor
Primary
61348595
WA
101YM0800X
Mental Health Counselor
847-8-1-15-304
ND
101YM0800X
Mental Health Counselor
CC01565
MN
Other
Enumeration date
01/10/2012
Last updated
12/11/2022
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