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Organization
DANNA M. PETERSON, LPC, CMHC, PLLC
Active
Organization
DANNA M. PETERSON, LPC, CMHC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNA MARIE PETERSON M.ED. (PROVIDER)
(602) 510-0665
Entity
Organization
Contact information
Practice address
2252 KINGMAN AVE, KINGMAN, AZ 86401-4838
(602) 510-0665
(765) 227-4798
Mailing address
2252 KINGMAN AVE, KINGMAN, AZ 86401-4838
(602) 510-0665
(765) 227-4798
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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