Individual
GABRIELLE THERESE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2631 NW 41ST STREET, BLDG E SUITE 1, GAINESVILLE, FL 32606
(352) 367-1110
(352) 271-4322
Mailing address
4335 SW 83RD WAY, GAINESVILLE, FL 32608
(352) 367-1110
(352) 271-4322
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT001373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z3685
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/07/2006
Last updated
07/08/2007
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