Individual
DR. CLAY E PETERS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., L.P.C., N.C.C
Contact information
Practice address
1125 STRATFORD DR, BEDFORD, VA 24523-3017
(540) 314-1640
Mailing address
1125 STRATFORD DR, BEDFORD, VA 24523-3017
(540) 314-1640
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701003318
STATE LPC LICENSE
VA
Enumeration date
07/14/2006
Last updated
07/08/2007
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