# PAULA M PETERSON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649653718
- **Authorized official:** MRS. PAULA MARIE JEANNETTE PETERSON PLMHP (COUNSELOR)
- **Authorized official phone:** (402) 833-1410

## Contact information

- **Practice address:** 803 PROVIDENCE RD, SUITE 102, WAYNE, NE 68787-1623
- **Practice address phone:** (402) 833-1410
- **Mailing address:** 803 PROVIDENCE RD, STE. 102, WAYNE, NE 68787-1519
- **Mailing address phone:** (402) 833-1410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 10560 | NE | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/06/2016