# AMIE PETERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194095968
- **Gender:** F
- **Credential:** LPC, LPCC, LMHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1667 | ND | — |
| 101YM0800X | Mental Health Counselor | 61348595 | WA | Yes |
| 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