Individual
JENNIFER PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4213 DURANGO PL, FORT COLLINS, CO 80526-4103
(970) 234-1147
Mailing address
4213 DURANGO PL, FORT COLLINS, CO 80526-4103
(970) 234-1147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2179
CO
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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