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Individual
MS. CHERI ANN PETERSON
Active
Individual
MS. CHERI ANN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,LMFT, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-1065
MT
1041C0700X
Clinical Social Worker
L7004
OR
1041C0700X
Clinical Social Worker
LCSW-760
WY
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-709
MT
106H00000X
Marriage & Family Therapist
SWP-LMFT-LIC-91
MT
Other
Enumeration date
08/09/2006
Last updated
06/02/2019
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