Individual
ANN COOPER PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-9000
Mailing address
240 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-6000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
24986
CA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
About Stedi
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