Individual
KARLA M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3790 OLD US HWY 41 N , STE A, VALDOSTA, GA 31602-6865
(229) 262-1000
(229) 262-1085
Mailing address
3569 SUMNER RD, MOULTRIE, GA 31768-0117
(229) 310-5065
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001984
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G47619A509
—
GA
Enumeration date
10/15/2020
Last updated
08/19/2025
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