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Individual

RITA PETERSON

Active
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Individual

RITA PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.F.T., L.P.C.

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH14517
FL
101YP2500X
Professional Counselor
64335
TX
101YP2500X
Professional Counselor
Primary
PC008849
PA
106H00000X
Marriage & Family Therapist
201347
TX

Other

Enumeration date
05/20/2010
Last updated
05/15/2018
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