Individual
ELIZABETH JEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CADC I
Contact information
Practice address
200 W PINE ST, CENTRAL POINT, OR 97502-1933
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C7204
OR
Other
Enumeration date
12/19/2016
Last updated
08/21/2023
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