Individual
DR. COLLEEN MARGARET PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4505 S MARYLAND PKWY, BOX 453047, LAS VEGAS, NV 89154-9900
(702) 895-4798
(702) 895-4797
Mailing address
1796 BAJA LN, HENDERSON, NV 89012-3108
(702) 269-5781
(702) 895-4797
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0850
NV
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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