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Individual
JAMIE PETERSON
Active
Individual
JAMIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC14765
DC
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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